NPIMap

Organization Active NPI

Medspring of Texas, PA

  • Urgent Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1861881831
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDSPRING OF TEXAS, PA
Practice address
1520 N Damen Ave
Chicago, IL 60622-1967
Phone
(312) 283-5560
Fax
(512) 485-7393
NPI assigned
Jan 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Authorized official

Name
Cheryl Kaderli
Title
Contracting Manager
Phone
(512) 765-9003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1520 N Damen Ave
Chicago, IL 60622-1967

Mailing address

2901 Via Fortuna
Ste 600
Austin, TX 78746-7565
Phone (888) 980-0505

National Provider Directory

National Provider Directory

Locations

1520 N Damen Ave
Chicago, IL 60622
Phone (312) 278-5955

NPI Registry JSON

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1861881831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 VIA FORTUNA",
            "address_2": "STE 600",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467565",
            "telephone_number": "888-980-0505",
            "fax_number": "512-485-7393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221967",
            "telephone_number": "312-283-5560",
            "fax_number": "512-485-7393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSPRING OF TEXAS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-14",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "KADERLI",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "CONTRACTING MANAGER",
        "authorized_official_telephone_number": "512-765-9003"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "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 Jan 14, 2015; 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.