Active NPI
La Raza Medical Center
- Family Medicine Physician
- Bensenville, IL
National Provider Identifier
1952578304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- LA RAZA MEDICAL CENTER
- Practice address
- 16 E Green St
Bensenville, IL 60106-2482 - Phone
- (630) 238-2100
- Fax
- (630) 238-2110
- NPI assigned
- May 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Irma Esperanza Urrutia-Potter, M.D.
- Title
- M.D.
- Phone
- (630) 238-2100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
16 E Green St
Bensenville, IL 60106-2482
Mailing address
16 E Green St
Bensenville, IL 60106-2482
Phone (630) 238-2100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036112375 | Medicaid | IL | |
| 1447363890 | Other | NPI | |
| I43779 | Other | IL | UPIN |
| 02233119 | Other | IL | BC/BS |
National Provider Directory
National Provider DirectoryLocations
16 E Green St
Bensenville, IL 60106
Phone (630) 238-2100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Tucson, AZ
- NPI 1447363890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210723200000",
"number": "1952578304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 E GREEN ST",
"city": "BENSENVILLE",
"state": "IL",
"postal_code": "601062482",
"telephone_number": "630-238-2100",
"fax_number": "630-238-2110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 E GREEN ST",
"city": "BENSENVILLE",
"state": "IL",
"postal_code": "601062482",
"telephone_number": "630-238-2100",
"fax_number": "630-238-2110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LA RAZA MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-14",
"last_updated": "2008-05-14",
"status": "A",
"authorized_official_last_name": "URRUTIA-POTTER",
"authorized_official_first_name": "IRMA",
"authorized_official_middle_name": "ESPERANZA",
"authorized_official_title_or_position": "M.D.",
"authorized_official_telephone_number": "630-238-2100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036112375",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1447363890",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UPIN",
"identifier": "I43779",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "02233119",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bensenville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.