Organization Active NPI

Covid Medical Solution Illinois LLC

  • Primary Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1891370292
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
COVID MEDICAL SOLUTION ILLINOIS LLC
Doing business as
Doctors Test Centers
Practice address
20 W Ontario St
Chicago, IL 60654-3809
Phone
(312) 858-7638
Fax
(312) 276-4452
NPI assigned
Mar 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Dr. Jeffrey Weinzweig, MD
Title
President
Phone
(312) 858-7638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

20 W Ontario St
Chicago, IL 60654-3809

Mailing address

20 W Ontario St
Chicago, IL 60654-3809
Phone (312) 858-7638

Other names 1

  • Doctors Test Centers Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1891370292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 W ONTARIO ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543809",
            "telephone_number": "312-858-7638",
            "fax_number": "312-276-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 W ONTARIO ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543809",
            "telephone_number": "312-858-7638",
            "fax_number": "312-276-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVID MEDICAL SOLUTION ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "WEINZWEIG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-858-7638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors Test Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Doctors Test Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 29, 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.

Verify at the official NPI Registry.