Organization Active NPI

Complete Primary Care LLC

  • Clinic/Center
  • Niles, IL
National Provider Identifier
1962356360
Registry record updated Mar 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Mar 28, 2026

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

Authorized official

Name
Dr. Jesus Rene Dadivas Jr., MDNPI 1952690422
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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

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.

Verify at the official NPI Registry.