NPIMap

Organization Active NPI

Primecare Medical Associates, Inc

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1659508356
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMECARE MEDICAL ASSOCIATES, INC
Practice address
7114 S Vincennes Ave
Chicago, IL 60621-3506
Phone
(773) 224-4800
Fax
(847) 890-6660
NPI assigned
Jun 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Mirza Baig
Title
Administrator
Phone
(773) 224-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X IL Primary

Addresses

Primary practice location

7114 S Vincennes Ave
Chicago, IL 60621-3506

Mailing address

1375 E Schaumburg Rd
Suite 100
Schaumburg, IL 60194-5166
Phone (847) 891-6850

Other names 1

  • Englewood Immediate Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1659508356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 E SCHAUMBURG RD",
            "address_2": "SUITE 100",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601945166",
            "telephone_number": "847-891-6850",
            "fax_number": "630-339-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7114 S VINCENNES AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213506",
            "telephone_number": "773-224-4800",
            "fax_number": "847-890-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMECARE MEDICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-19",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "BAIG",
        "authorized_official_first_name": "MIRZA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-224-4800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Englewood Immediate Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.