Organization Active NPI

Prius Health Medical Group SC

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1760755268
Registry record updated Nov 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
036-081178 Issued in IL
Legal business name
PRIUS HEALTH MEDICAL GROUP SC
Practice address
3650 W Armitage Ave
Chicago, IL 60647
Phone
(312) 965-4466
Fax
(312) 896-5658
NPI assigned
Feb 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2015

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

Authorized official

Name
Dr. Wadah Atassi, M.D.
Title
Medical Director
Phone
(312) 965-4466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 036-081178 IL Primary

Addresses

Primary practice location

3650 W Armitage Ave
Chicago, IL 60647

Mailing address

907 Saint Stephens GRN
Wadah Atassi
Oak Brook, IL 60523
Phone (312) 965-4466

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447891200000",
    "number": "1760755268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 SAINT STEPHENS GRN",
            "address_2": "WADAH ATASSI",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "60523",
            "telephone_number": "312-965-4466",
            "fax_number": "312-896-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 W ARMITAGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60647",
            "telephone_number": "312-965-4466",
            "fax_number": "312-896-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIUS HEALTH MEDICAL GROUP SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2015-11-19",
        "status": "A",
        "authorized_official_last_name": "ATASSI",
        "authorized_official_first_name": "WADAH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "312-965-4466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "036-081178",
            "primary": true
        }
    ],
    "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 Nov 19, 2015; 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.