NPIMap

Organization Active NPI

Unified Physicians Network Aco, LLC

  • Health Maintenance Organization
  • Skokie, IL
National Provider Identifier
1700227279
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
UNIFIED PHYSICIANS NETWORK ACO, LLC
Practice address
5215 Old Orchard Rd
Suite 340
Skokie, IL 60077-1035
Phone
(847) 763-1700
Fax
(847) 676-6983
NPI assigned
Jul 12, 2013
Last updated
Jul 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

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

Authorized official

Name
Dr. Jafar Shah-Mirany Sr., M.D.
Title
Medical Director and Ceo
Phone
(847) 763-1700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

5215 Old Orchard Rd
Suite 340
Skokie, IL 60077-1035

Mailing address

5215 Old Orchard Rd
Suite 340
Skokie, IL 60077-1035
Phone (847) 763-1700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1373587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1700227279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 OLD ORCHARD RD",
            "address_2": "SUITE 340",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771035",
            "telephone_number": "847-763-1700",
            "fax_number": "847-676-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 OLD ORCHARD RD",
            "address_2": "SUITE 340",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771035",
            "telephone_number": "847-763-1700",
            "fax_number": "847-676-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIFIED PHYSICIANS NETWORK ACO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-12",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "SHAH-MIRANY",
        "authorized_official_first_name": "JAFAR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR AND CEO",
        "authorized_official_telephone_number": "847-763-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.