Active NPI
The Physicians on US Group
- Mental Health Counselor
- Chicago, IL
National Provider Identifier
1962313676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- THE PHYSICIANS ON US GROUP
- Practice address
- 111 N Wabash Ave Unit 3541
Chicago, IL 60602-1903 - Phone
- (312) 409-0417
- Fax
- (276) 777-7708
- NPI assigned
- Sep 14, 2026
- Last updated
- Sep 14, 2026
- 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
- Mr. Vincent James Edwards Sr., PRACTITIONER
- Title
- President & Practitioner
- Phone
- (312) 409-0417
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | Primary | ||
| Behavior Analyst | 103K00000X | |||
| Case Management Agency | 251B00000X | |||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
111 N Wabash Ave Unit 3541
Chicago, IL 60602-1903
Mailing address
111 N Wabash Ave Unit 3541
Chicago, IL 60602-1903
Phone (312) 409-0417
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789344000000",
"number": "1962313676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N WABASH AVE UNIT 3541",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606021903",
"telephone_number": "312-409-0417",
"fax_number": "276-777-7708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N WABASH AVE UNIT 3541",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606021903",
"telephone_number": "312-409-0417",
"fax_number": "276-777-7708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE PHYSICIANS ON US GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "VINCENT",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "PRESIDENT & PRACTITIONER",
"authorized_official_telephone_number": "312-409-0417",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "PRACTITIONER"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.