Active NPI
Mercy Care Center
- Clinic/Center
- Chicago, IL
National Provider Identifier
1740861582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MERCY CARE CENTER
- Practice address
- 3753 S Cottage Grove Ave
Chicago, IL 60653-1662 - Phone
- (312) 567-2092
- NPI assigned
- Apr 14, 2021
- 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
- David Schusteric
- Title
- Practice Director
- Phone
- (312) 567-2092
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary | ||
| Community Health Clinic/Center | 261QC1500X | |||
| Radiology Clinic/Center | 261QR0200X | |||
| Mammography Clinic/Center | 261QR0206X | |||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
3753 S Cottage Grove Ave
Chicago, IL 60653-1662
Mailing address
3753 S Cottage Grove Ave
Chicago, IL 60653-1662
National Provider Directory
National Provider Directory- Tax ID family
- Mercy Care Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1063084366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624233600000",
"number": "1740861582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3753 S COTTAGE GROVE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606531662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3753 S COTTAGE GROVE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606531662",
"telephone_number": "312-567-2092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-14",
"last_updated": "2021-06-21",
"certification_date": "2021-06-21",
"status": "A",
"authorized_official_last_name": "SCHUSTERIC",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRACTICE DIRECTOR",
"authorized_official_telephone_number": "312-567-2092"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0206X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mammography",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.