Active NPI
Siloam Home and Wound Care Physicians Inc
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1861814915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SILOAM HOME AND WOUND CARE PHYSICIANS INC
- Practice address
- 1342 W Grenshaw St Apt 1
Chicago, IL 60607-0025 - Phone
- (312) 590-1601
- Fax
- (312) 626-2161
- NPI assigned
- Jan 8, 2014
- Last updated
- Jul 8, 2024
- 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
- Joseph Ofisi, MD
- Title
- President
- Phone
- (312) 590-1601
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1342 W Grenshaw St Apt 1
Chicago, IL 60607-0025
Mailing address
908 S Laflin St
Chicago, IL 60607-4024
Phone (312) 590-1601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 7
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.
-
- Surgery Physician
- Chicago, IL
- NPI 1295057610
-
- Family Nurse Practitioner
- Chicago Heights, IL
- NPI 1295106268
-
- Podiatrist
- Chicago, IL
- NPI 1982742920
-
- Physician Assistant
- Orland Park, IL
- NPI 1144111675
-
- Physician Assistant
- Evanston, IL
- NPI 1255104337
-
- Family Nurse Practitioner
- Calumet City, IL
- NPI 1578855219
-
- Medical Physician Assistant
- Orland Park, IL
- NPI 1821277682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720396800000",
"number": "1861814915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "908 S LAFLIN ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606074024",
"telephone_number": "312-590-1601",
"fax_number": "312-626-2161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1342 W GRENSHAW ST APT 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606070025",
"telephone_number": "312-590-1601",
"fax_number": "312-626-2161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SILOAM HOME AND WOUND CARE PHYSICIANS INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-08",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A",
"authorized_official_last_name": "OFISI",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "312-590-1601",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"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 Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.