Federacion de Clubes Michoacanos En Illinois

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

FEDERACION DE CLUBES MICHOACANOS EN ILLINOIS

Practice address

1638 S Blue Island Ave
Chicago, IL 60608-2134

Phone

(312) 491-9317

NPI assigned

Dec 5, 2024

Organization subpart

No

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

Authorized official

Name

Ariana Garfias

Title

Associate Director

Phone

(312) 491-9317

Specialties & licenses 2

Addresses

Other names 2

• Casa Michoacan Other name
• Casas Michoacan Other name

Locations

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1962218834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 S BLUE ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082134",
            "telephone_number": "312-491-9317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 S BLUE ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082134",
            "telephone_number": "312-491-9317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "340 Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601204224",
            "country_code": "US",
            "telephone_number": "630-480-6628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FEDERACION DE CLUBES MICHOACANOS EN ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "GARFIAS",
        "authorized_official_first_name": "ARIANA",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "312-491-9317"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Casa Michoacan",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Casas Michoacan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joel Aaron Feder, D.P.M.
• Lillian Feder
• Lindsay Nicole Feder, PA
• Marc Feder, D.P.M.
• Robert Scott Feder, M.D.
• Federal Health Support Services
• John Paul Federbusch, M.D.
• Federer Surgical Services LTD
• Howard Clark Federer III, M.D.
• Linda Ferris Federer, NP

• Voluntary or Charitable Agency in Chicago, IL
• Providers in Chicago, IL by specialty
• Voluntary or Charitable Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.