Associated Medical Centers SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ASSOCIATED MEDICAL CENTERS SC

Doing business as

Hyde Park Medical Center

Practice address

5307 So Hyde Park Blvd
St 203
Chicago, IL 60615

Phone

(773) 288-8808

Fax

(773) 288-8792

NPI assigned

Apr 10, 2007

Organization subpart

No

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

Authorized official

Name

Michael T Foreman, MDNPI 1922151117

Title

President

Phone

(773) 947-7746

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hyde Park Medical Center Doing business as

Tax ID family

Associated Medical Centers SC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Associated Medical Center SC

  dba Harvey Medical Center

  • Family Medicine Physician
  • Harvey, IL
  • NPI 1518180678
  NPD tax ID
• Associated Medical Centers SC

  dba Beverly Park Medical Center

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1669695730
  NPD tax ID

Locations

Practitioners 1

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.

• Michael Trent Foreman, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1922151117
  Authorized official Same address or phone

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952524027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5307 SO HYDE PARK BLVD",
            "address_2": "ST 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60615",
            "telephone_number": "773-288-8808",
            "fax_number": "773-288-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5307 SO HYDE PARK BLVD",
            "address_2": "ST 203",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60615",
            "telephone_number": "773-288-8808",
            "fax_number": "773-288-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED MEDICAL CENTERS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-947-7746",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01630238",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hyde Park Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Associated Behavioral Therapeutics Inc
• Associated Dental Center
• Associated Medical Centers of Illinois, LTD.
• Associated Medical Centers SC (Beverly Park Medical Center)
• Associated Medical Centers SC (Jackson Park Medical Associates)
• Associated Obstetricians & Gynecologists (Women First)
• Associated Psychologists
• Associates for Dental Care, LLC
• Associates for Dental Care, PC (Hawthorn Woods Family Dental Care)
• Associates for Dental Health, P.C.

• 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 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.