Pri Care Center SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036056365 Issued in IL

Legal business name

PRI CARE CENTER SC

Practice address

9830 Ridgeland Ave
Chicago Ridge, IL 60415-2667

Phone

(708) 424-5454

Fax

(708) 424-9561

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Arturo Chavarria, MD

Title

Owner

Phone

70842425454

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1811001043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9830 S RIDGELAND",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "60415",
            "telephone_number": "708-424-5454",
            "fax_number": "708-424-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9830 RIDGELAND AVE",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152667",
            "telephone_number": "708-424-5454",
            "fax_number": "708-424-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRI CARE CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "CHAVARRIA",
        "authorized_official_first_name": "ARTURO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "70842425454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036056365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rose Pittelli
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• Kellie Marie Pratl
• Precise Ambulance Service LLC
• Pulmonary Consultants, SC
• Jennifer A Purpura
• Mohamad Rachid
• Sherif Mohamed Rashad, PHYSICAL THERAPIST
• Richard M. Janiczek, DDS., LTD.

• Internal Medicine Physician in Chicago Ridge, IL
• Providers in Chicago Ridge, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.