Chicago Express Doctors, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036078254 Issued in IL

Legal business name

CHICAGO EXPRESS DOCTORS, INC.

Practice address

520 N Kingsbury St Unit 3905
Chicago, IL 60654-8779

Phone

(312) 929-4492

Fax

(312) 929-4493

NPI assigned

Nov 3, 2010

Last updated

Mar 7, 2012By 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

Ms. Tina Casey

Title

Practice Manager

Phone

(312) 929-4492

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331078400000",
    "number": "1841590163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N KINGSBURY ST",
            "address_2": "# 3905",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606548766",
            "telephone_number": "312-929-4492",
            "fax_number": "312-929-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N KINGSBURY ST UNIT 3905",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606548779",
            "telephone_number": "312-929-4492",
            "fax_number": "312-929-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO EXPRESS DOCTORS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2012-03-07",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "312-929-4492",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036078254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chicago Digestive and Liver Disease Specialist S C
• Chicago Disability Transit, LLC
• Chicago Dizziness and Balance PLLC
• Chicago Electrical Trauma Research Institute
• Chicago Emergency Physician, LLP
• Chicago Eye Care and Lasers S C
• Chicago Eye Care and Surgery Center Inc
• Chicago Eye Institute, PLLC (Chicago Eye Institute)
• Chicago Eyes LTD
• Chicago Family Asthma & Allergy SC

• 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 Mar 7, 2012; 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.