Jasam Medical SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JASAM MEDICAL SC

Practice address

2749 W North Ave
Chicago, IL 60647-5246

Phone

(773) 292-9660

NPI assigned

Dec 2, 2006

Organization subpart

Yes

Parent organization

JASAM MEDICAL SCAs reported in NPPES

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

Authorized official

Name

Chimanbhai PatelNPI 1710919394

Title

President

Phone

(773) 292-9660

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Jasam Medical SC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chimanbhai Kalidas Patel, MD

  • Family Medicine Physician
  • La Grange Highlands, IL
  • NPI 1710919394
  NPD (past) Authorized official

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1952479222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600760607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2749 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606475246",
            "telephone_number": "773-292-9660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASAM MEDICAL SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JASAM MEDICAL SC",
        "enumeration_date": "2006-12-02",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "CHIMANBHAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-292-9660"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP #",
            "identifier": "211682",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Giovanni Jarvis, PHARMD
• Madeline Margaret Jary, PA-C
• Magdalena Jarzabek, NP-C
• Jas Family Support Service, Inc.
• Jas Healthcare Inc
• Ranjana Jasaraj, MD
• Karen M Jaseckas, RD, LDN
• Jaseena'S Transportation Services, LLC
• Ian Greg Jasenof, M.D.
• Jagoda K Jasielec, M.D.

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.