NPIMap

Organization Active NPI

North Elston Immediate & Primary Care

  • Urgent Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1891056867
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
036114889 Issued in IL
Legal business name
NORTH ELSTON IMMEDIATE & PRIMARY CARE
Practice address
4332 N Elston Ave
Chicago, IL 60641-2144
Phone
(773) 754-3500
Fax
(773) 754-3504
NPI assigned
Jun 6, 2012
Organization subpart
Yes
Parent organization
MARION CHRONIC CARE, LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Authorized official

Name
Dr. Syed Jafri, MD
Title
President
Phone
(601) 668-4105

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X 036114889 IL
Urgent Care Clinic/Center 261QU0200X 036114889 IL Primary

Addresses

Primary practice location

4332 N Elston Ave
Chicago, IL 60641-2144

Mailing address

4332 N Elston Ave
Chicago, IL 60641-2144
Phone (773) 754-3500

National Provider Directory

National Provider Directory
Part of
Marion Chronic Care LTD

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21509/brand/1/csg/1/fhir/r4

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1891056867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4332 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412144",
            "telephone_number": "773-754-3500",
            "fax_number": "773-754-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4332 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412144",
            "telephone_number": "773-754-3500",
            "fax_number": "773-754-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ELSTON IMMEDIATE & PRIMARY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARION CHRONIC CARE, LTD",
        "enumeration_date": "2012-06-06",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "JAFRI",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-668-4105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036114889",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "IL",
            "license": "036114889",
            "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 Jun 23, 2014; 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.