Organization Active NPI

Nah Emergency Services SC

  • Emergency Care Clinic/Center
  • Chicago, IL
National Provider Identifier
1902009186
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
Legal business name
NAH EMERGENCY SERVICES SC
Practice address
1044 N Francisco Ave
Chicago, IL 60622-2743
Phone
(773) 292-8200
NPI assigned
Jun 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Authorized official

Name
Tunji Ladipo, MD
Title
President
Phone
(773) 292-5941

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X IL Primary

Addresses

Primary practice location

1044 N Francisco Ave
Chicago, IL 60622-2743

Mailing address

1012 Lake Shore Blvd
Evanston, IL 60202-1433

Other names 1

  • Humboldt Park Emergency Services SC Doing business as

National Provider Directory

National Provider Directory

Locations

Dept 4619
Carol Stream, IL 60122

Practitioners & affiliated clinicians

Practitioners 1

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": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1902009186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 LAKE SHORE BLVD",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 N FRANCISCO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222743",
            "telephone_number": "773-292-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAH EMERGENCY SERVICES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "LADIPO",
        "authorized_official_first_name": "TUNJI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-292-5941",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Humboldt Park Emergency Services SC",
            "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 Jul 1, 2009; 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.