NPIMap

Organization Active NPI

Elmhurst Memorial Affiliated Primary Care Physicians, LLC

Doing business as Primary Care Associates

  • Internal Medicine Physician
  • Elmhurst, IL
National Provider Identifier
1922244375
Registry record updated Jan 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ELMHURST MEMORIAL AFFILIATED PRIMARY CARE PHYSICIANS, LLC
Doing business as
Primary Care Associates
Practice address
455 N York Rd
Elmhurst, IL 60126-2003
Phone
(630) 834-0400
NPI assigned
Jan 6, 2009
Last updated
Jan 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2009

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

Authorized official

Name
Mrs. Mary Stull
Title
Coo
Phone
(630) 993-5676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

455 N York Rd
Elmhurst, IL 60126-2003

Mailing address

455 N York Rd
Elmhurst, IL 60126-2003
Phone (630) 834-0400

Other names 1

  • Primary Care Associates Doing business as

National Provider Directory

National Provider Directory

Locations

331 S York Rd
Bensenville, IL 60106
Phone (630) 766-5800

Dept 4577
Carol Stream, IL 60122

Dept 4585
Carol Stream, IL 60122

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231200000000",
    "number": "1922244375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 N YORK RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262003",
            "telephone_number": "630-834-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 N YORK RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262003",
            "telephone_number": "630-834-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMHURST MEMORIAL AFFILIATED PRIMARY CARE PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-06",
        "status": "A",
        "authorized_official_last_name": "STULL",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "630-993-5676",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.