NPIMap

Organization Active NPI

Doctors on Demand- Chicago

  • Medical Specialty Clinic/Center
  • Morton Grove, IL
National Provider Identifier
1790338358
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
DOCTORS ON DEMAND- CHICAGO
Practice address
8518 Georgiana Ave
Morton Grove, IL 60053-2908
Phone
(847) 530-5916
NPI assigned
Jul 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Samiebert FamanasNPI 1659102085
Title
Managing Director
Phone
(847) 530-5916

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

8518 Georgiana Ave
Morton Grove, IL 60053-2908

Mailing address

8518 Georgiana Ave
Morton Grove, IL 60053-2908
Phone (847) 530-5916

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1790338358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8518 GEORGIANA AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532908",
            "telephone_number": "847-530-5916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8518 GEORGIANA AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532908",
            "telephone_number": "847-530-5916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS ON DEMAND- CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "FAMANAS",
        "authorized_official_first_name": "SAMIEBERT",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "847-530-5916"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.