Organization Active NPI

Apex Integrated Medical Center LTD

  • General Practice Physician
  • Chicago, IL
National Provider Identifier
1841853116
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
APEX INTEGRATED MEDICAL CENTER LTD
Practice address
118 N Clinton St Ste 103
Chicago, IL 60661-2388
Phone
(312) 208-9990
Fax
(866) 610-9462
NPI assigned
Apr 22, 2019
Last updated
Sep 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Authorized official

Name
Clarence W Brown IIINPI 1770538878
Title
Administrator
Phone
(312) 208-9990

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
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

118 N Clinton St Ste 103
Chicago, IL 60661-2388

Mailing address

118 N Clinton St Ste 103
Chicago, IL 60661-2388

National Provider Directory

National Provider Directory

Locations

118 N Clinton St
Ste 103
Chicago, IL 60661
Phone (312) 208-9990

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1841853116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N CLINTON ST STE 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N CLINTON ST STE 103",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612388",
            "telephone_number": "312-208-9990",
            "fax_number": "866-610-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX INTEGRATED MEDICAL CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "312-208-9990",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "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 Sep 5, 2019; 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.