Jifunza Ca Wright MD PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

JIFUNZA CA WRIGHT MD PC

Practice address

11110 S Sawyer Ave
Chicago, IL 60655-2724

Phone

(773) 881-7191

Fax

(773) 239-4259

NPI assigned

Dec 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jifunza Charlene Wright, M.D.

Title

Physician/Owner

Phone

(773) 881-7191

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256860800000",
    "number": "1700021268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 S SAWYER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552724",
            "telephone_number": "773-881-7191",
            "fax_number": "773-239-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 S SAWYER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606552724",
            "telephone_number": "773-881-7191",
            "fax_number": "773-239-4259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIFUNZA CA WRIGHT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-11",
        "last_updated": "2009-10-30",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JIFUNZA",
        "authorized_official_middle_name": "CHARLENE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "773-881-7191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Thomas Jiaras Jr., PSY.D., M.A.
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• General Practice Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.