Organization Active NPI

Garfield Ridge Medical Group

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1942258652
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GARFIELD RIDGE MEDICAL GROUP
Practice address
6950 W Archer Ave
Chicago, IL 60638-2300
Phone
(773) 229-0500
Fax
(773) 229-0800
NPI assigned
May 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Richard Andfield
Title
Director
Phone
(773) 229-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

6950 W Archer Ave
Chicago, IL 60638-2300

Mailing address

6950 W Archer Ave
Chicago, IL 60638-2300
Phone (773) 229-0500

Other identifiers 1

IdentifierTypeStateIssuer
01632789OtherILBLUE CROSS #

National Provider Directory

National Provider Directory

Locations

6950 W Archer Ave
Chicago, IL 60638
Phone (773) 229-0500

Practitioners & affiliated clinicians

Practitioners 5

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": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942258652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6950 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382300",
            "telephone_number": "773-229-0500",
            "fax_number": "773-229-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382300",
            "telephone_number": "773-229-0500",
            "fax_number": "773-229-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARFIELD RIDGE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDFIELD",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-229-0500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS #",
            "identifier": "01632789",
            "state": "IL"
        }
    ],
    "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 Aug 22, 2020; 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.