Active NPI
Forys Birn and Assoc P C
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1740474584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- FORYS BIRN AND ASSOC P C
- Practice address
- 5605 W Gunnison STR
Chicago, IL 60630-3212 - Phone
- (773) 545-2525
- Fax
- (773) 205-5700
- NPI assigned
- Sep 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
- Dr. Victor Aleksander Forys, M.D.
- Title
- President, Physician
- Phone
- (773) 545-2525
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | |||
| Internal Medicine Physician | 207R00000X | IL | Primary |
Addresses
Primary practice location
5605 W Gunnison STR
Chicago, IL 60630-3212
Mailing address
5605 W Gunnison STR
Chicago, IL 60630-3212
Phone (773) 545-2525
Other names 1
- Central Medical Clinic Of Chicago
National Provider Directory
National Provider DirectoryLocations
4820 N Central Ave
Chicago, IL 60630
Phone (773) 545-2525
5605 W Gunnison St
Chicago, IL 60630
Phone (773) 545-2525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309392000000",
"number": "1740474584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5605 W GUNNISON STR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606303212",
"telephone_number": "773-545-2525",
"fax_number": "773-205-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5605 W GUNNISON STR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606303212",
"telephone_number": "773-545-2525",
"fax_number": "773-205-5700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORYS BIRN AND ASSOC P C",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-05",
"last_updated": "2011-06-30",
"status": "A",
"authorized_official_last_name": "FORYS",
"authorized_official_first_name": "VICTOR",
"authorized_official_middle_name": "ALEKSANDER",
"authorized_official_title_or_position": "PRESIDENT, PHYSICIAN",
"authorized_official_telephone_number": "773-545-2525",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Central Medical Clinic Of Chicago",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.