Lincoln Park Family Physicians SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

LINCOLN PARK FAMILY PHYSICIANS SC

Practice address

1317 W Diversey Pkwy
Chicago, IL 60614-1207

Phone

(773) 665-9355

Fax

(773) 665-0403

NPI assigned

Sep 14, 2005

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John W Tenhundfeld, M.D.NPI 1770578866

Title

President

Phone

(773) 665-9355

Specialties & licenses 1

Addresses

Practitioners 2

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.

• John W Tenhundfeld, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1770578866
  Authorized official Same address or phone
• Steven H Rube, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1992790877
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1760477863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 W DIVERSEY PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141207",
            "telephone_number": "773-665-9355",
            "fax_number": "773-665-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 W DIVERSEY PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141207",
            "telephone_number": "773-665-9355",
            "fax_number": "773-665-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN PARK FAMILY PHYSICIANS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "TENHUNDFELD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-665-9355",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lincoln Park Dental Specialists
• Lincoln Park Dialysis Services Inc (Kennedy Home Dialysis)
• Lincoln Park Dialysis Services Inc (Skyline Home Dialysis)
• Lincoln Park Dialysis Services Inc
• Lincoln Park Eyes LLC
• Lincoln Park Heart Center, S.C.
• Lincoln Park Home Health Care, Inc.
• Lincoln Park OBGYN SC
• Lincoln Park Open MRI, LLC (Lake Shore Open MRI & CT)
• Lincoln Park Oral & Cosmetic Surgery (Lincoln Park Institute)

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.