Insight Chicago Medical Group

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

INSIGHT CHICAGO MEDICAL GROUP

Practice address

2525 S Michigan Ave
Chicago, IL 60616-2315

Phone

(810) 275-9333

Fax

(810) 213-8069

NPI assigned

Jan 18, 2022

Last updated

Jan 19, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jawad Shah, DO

Title

President

Phone

(810) 275-9333

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1902558257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162315",
            "telephone_number": "810-275-9333",
            "fax_number": "810-213-8069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162315",
            "telephone_number": "810-275-9333",
            "fax_number": "810-213-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT CHICAGO MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "JAWAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-275-9333",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1427020452",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inside Family Counseling, LLC
• Insight Behavioral Health Centers
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• Insight Behavioral Health Centers
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• Insight Chicago, Inc. (Insight Hospital & Medical Center Chicago)
• Insight Chicago, Inc. (Insight Hospital & Medical Center Chicago)
• Insight Chicago, Inc.
• Insight Chicago, Inc. (Insight Integrated Pain Management Bridgeport)
• Insight Chicago, Inc. (Insight Chicago Pharmacy)

• 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 Jan 19, 2022; 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.