Active NPI
Chicagocare LLC
- Family Medicine Physician
- Las Vegas, NV
National Provider Identifier
1740463371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1077
- 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, 2007
- 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
- Mrs. Teresa Marie Karl
- Title
- Office Manager
- Phone
- (702) 396-7689
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| V101462 | Other | NV | MEDICARE GROUP |
National Provider Directory
National Provider DirectoryPractitioners & 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.