Organization Active NPI

Covid Testing Centers and Wellness

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1851044333
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
COVID TESTING CENTERS AND WELLNESS
Practice address
10158 S Western Ave
Chicago, IL 60643-1928
Phone
(708) 465-2837
NPI assigned
Feb 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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

Authorized official

Name
Wsam Taiym
Title
Owner
Phone
(708) 997-4546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

10158 S Western Ave
Chicago, IL 60643-1928

Mailing address

10158 S Western Ave
Chicago, IL 60643-1928
Phone (708) 465-2837

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.chicagocovidtestingcenter.com Direct

National Provider Directory

National Provider Directory

Locations

10158 S Western Ave
Chicago, IL 60643
Phone (708) 465-2837

NPI Registry JSON

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643846400000",
    "number": "1851044333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10158 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431928",
            "telephone_number": "708-465-2837",
            "fax_number": "773-238-5903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10158 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606431928",
            "telephone_number": "708-465-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVID TESTING CENTERS AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-03",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "TAIYM",
        "authorized_official_first_name": "WSAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-997-4546"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.chicagocovidtestingcenter.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10158 S Western Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606431928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Feb 3, 2022; 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.