Ucm Care Network Medical Group, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

UCM CARE NETWORK MEDICAL GROUP, INC

Practice address

5841 S Maryland Ave
Chicago, IL 60637-1447

Phone

(773) 702-2263

NPI assigned

Mar 8, 2016

Last updated

Mar 8, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

UNIVERSITY OF CHICAGO MEDICINE CARE NETWORK, LLCAs reported in NPPES

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

Authorized official

Name

James Watson

Title

Cfo/Board Executive

Phone

(773) 702-5417

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1861853608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371447",
            "telephone_number": "773-702-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371447",
            "telephone_number": "773-702-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UCM CARE NETWORK MEDICAL GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF CHICAGO MEDICINE CARE NETWORK, LLC",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CFO/BOARD EXECUTIVE",
        "authorized_official_telephone_number": "773-702-5417"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ucan
• Uche Olekanma M.D S.C
• Eugenia Uche-Anya
• Chukwunonyelum Collette Uche, DO
• Ucm Care Network Affiliated Physicians, LLC
• Donald Walter Uczen, DDS
• Ud Group LLC
• Kunjan Udani, MD
• Matthew Edwin Kozak Udani
• Uday I Vyas MD SC

• Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.