Active NPI
Complete Primary Care LLC
- Clinic/Center
- Niles, IL
National Provider Identifier
1962356360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- COMPLETE PRIMARY CARE LLC
- Practice address
- 8074 N Milwaukee Ave
Niles, IL 60714-2802 - Phone
- (847) 834-4101
- Fax
- (224) 506-3403
- NPI assigned
- Feb 23, 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
- Dr. Jesus Rene Dadivas Jr., MD
- Title
- Owner
- Phone
- (847) 834-4101
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 |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
8074 N Milwaukee Ave
Niles, IL 60714-2802
Mailing address
1402 W Busse Ave
Mount Prospect, IL 60056-2975
Phone (847) 834-4101
National Provider Directory
National Provider DirectoryPractitioners & 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
- Niles, IL
- NPI 1952690422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774656000000",
"number": "1962356360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 W BUSSE AVE",
"city": "MOUNT PROSPECT",
"state": "IL",
"postal_code": "600562975",
"telephone_number": "847-834-4101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8074 N MILWAUKEE AVE",
"city": "NILES",
"state": "IL",
"postal_code": "607142802",
"telephone_number": "847-834-4101",
"fax_number": "224-506-3403"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE PRIMARY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-23",
"last_updated": "2026-03-28",
"certification_date": "2026-03-28",
"status": "A",
"authorized_official_last_name": "DADIVAS",
"authorized_official_first_name": "JESUS",
"authorized_official_middle_name": "RENE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-834-4101",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Niles, IL
- Citadel at Saint Benedict LLC (Citadel at Saint Benedict)
- Joyce Gilongos Clar
- Rebecca A Clark, M.S.
- Jason Alan Cohen
- Aimee G. Collins, P.T.
- Comprehensive Psychological Resource (Suzette Rush-Drake, Psy.D.)
- Connecting Souls, Inc.
- Consolidated Vision Group (America's Best Contacts and Eyeglasses)
- Mary Elizabeth Conte, M.D.
- Cornelia V. Tandez, M.D.,LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.