Active NPI
Forys Birn and Assoc P C
Doing business as Central Medical Clinic Of Chicago
- Internal Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- FORYS BIRN AND ASSOC P C
- Doing business as
- Central Medical Clinic Of Chicago
- Practice address
- 5605 W Gunnison STR
Chicago, IL 60630-3212 - Phone
- (773) 545-2525
- Fax
- (773) 205-5700
- NPI assigned
- Sep 5, 2007
- Last updated
- Jun 30, 2011
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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
5605 W Gunnison St
Chicago, IL 60630
Phone (773) 545-2525
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1669585857
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.