Organization Active NPI

Forys Birn and Assoc P C

Doing business as Central Medical Clinic Of Chicago

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1740474584
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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.NPI 1669585857
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)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.