Active NPI
Thresholds Health, NFP
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1700530300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- THRESHOLDS HEALTH, NFP
- Practice address
- 5801 W Corcoran PL
Chicago, IL 60644-1854 - Phone
- (773) 572-5210
- NPI assigned
- Feb 11, 2022
- Last updated
- Apr 12, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marcella Klauer
- Title
- Executive Assistant
- Phone
- (773) 572-5480
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
5801 W Corcoran PL
Chicago, IL 60644-1854
Mailing address
120 S la Salle St Ste 1410
Chicago, IL 60603-3579
Other names 1
- Thresholds Health
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2265308 | Thresholds Health, NFP | Certificate of waiver | Jul 25, 2026 |
National Provider Directory
National Provider DirectoryLocations
120 S La Salle St
Ste 1410
Chicago, IL 60603
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649721600000",
"number": "1700530300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 S LA SALLE ST STE 1410",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606033579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 W CORCORAN PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606441854",
"telephone_number": "773-572-5210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THRESHOLDS HEALTH, NFP",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-11",
"last_updated": "2022-04-12",
"certification_date": "2022-03-30",
"status": "A",
"authorized_official_last_name": "KLAUER",
"authorized_official_first_name": "MARCELLA",
"authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
"authorized_official_telephone_number": "773-572-5480"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Thresholds Health",
"code": "5",
"type": "Other Name"
}
]
}
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 Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.