Organization Active NPI

Chicagocare LLC

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1740463371
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1077 Issued in NV
Legal business name
CHICAGOCARE LLC
Practice address
7240 W Azure Dr
#165
Las Vegas, NV 89130-4405
Phone
(702) 396-7689
Fax
(702) 645-9958
NPI assigned
Dec 5, 2007
Last updated
Dec 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Mrs. Teresa Marie Karl
Title
Office Manager
Phone
(702) 396-7689

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 1077 NV Primary

Addresses

Primary practice location

7240 W Azure Dr
#165
Las Vegas, NV 89130-4405

Mailing address

7240 W Azure Dr
#165
Las Vegas, NV 89130-4405
Phone (702) 396-7689

Other identifiers 1

IdentifierTypeStateIssuer
V101462OtherNVMEDICARE GROUP

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1196812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1740463371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7240 W AZURE DR",
            "address_2": "#165",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891304405",
            "telephone_number": "702-396-7689",
            "fax_number": "702-645-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7240 W AZURE DR",
            "address_2": "#165",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891304405",
            "telephone_number": "702-396-7689",
            "fax_number": "702-645-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGOCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "KARL",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-396-7689",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "1077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "V101462",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.