Active NPI
Jrhmd Medical SC
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1861044497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- JRHMD MEDICAL SC
- Practice address
- 6307 S Stewart Ave Ste 203
Chicago, IL 60621-3116 - Phone
- (312) 504-8403
- NPI assigned
- Jul 13, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Katrina Smith
- Title
- Admin
- Phone
- (855) 276-5212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
6307 S Stewart Ave Ste 203
Chicago, IL 60621-3116
Mailing address
9335 S Leavitt St # 231
Chicago, IL 60643-6320
Phone (855) 276-5212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036119430 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
6307 S Stewart Ave
Ste 305
Chicago, IL 60621
Phone (312) 504-8403
Practitioners & affiliated clinicians
Practitioners 1
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": "1562976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1613347200000",
"number": "1861044497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9335 S LEAVITT ST # 231",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606436320",
"telephone_number": "855-276-5212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6307 S STEWART AVE STE 203",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606213116",
"telephone_number": "312-504-8403"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JRHMD MEDICAL SC",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-13",
"last_updated": "2021-02-15",
"certification_date": "2021-02-15",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "KATRINA",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "855-276-5212",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036119430",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- JPG Chiropractic & Tennis Performance LLC (Jpgctp)
- Jr Chhibber MD S.C
- Jr Dadivas Jr. MD., SC
- JRC Counseling Services
- Christina Jreisat, MD
- JRM Chiropractic Servics Inc (Lincoln Square Chiropractic and Physical Therapy)
- JSM Speech Therapy
- JT Homecare LLC (Synergy Homecare of Northwest Chicago)
- JT Labs LLC
- Anne K Ju, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.