Active NPI
Primary Care Medical Associates LTD
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1962590216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PRIMARY CARE MEDICAL ASSOCIATES LTD
- Practice address
- 1460 N Halsted St
Suite 202
Chicago, IL 60642-2605 - Phone
- (773) 871-4409
- Fax
- (773) 871-3608
- NPI assigned
- Oct 11, 2006
- 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
- Robert G Perlmuter, M.D., FACP
- Title
- President
- Phone
- (773) 871-4409
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
1460 N Halsted St
Suite 202
Chicago, IL 60642-2605
Mailing address
1460 N Halsted St
Suite 202
Chicago, IL 60642-2605
Phone (773) 871-4409
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0031603190 | Other | IL | BLUE CROSS/BLUE SHIELD |
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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1578603668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300665600000",
"number": "1962590216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1460 N HALSTED ST",
"address_2": "SUITE 202",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606422605",
"telephone_number": "773-871-4409",
"fax_number": "773-871-3608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 N HALSTED ST",
"address_2": "SUITE 202",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606422605",
"telephone_number": "773-871-4409",
"fax_number": "773-871-3608"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY CARE MEDICAL ASSOCIATES LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-11",
"last_updated": "2011-03-21",
"status": "A",
"authorized_official_last_name": "PERLMUTER",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-871-4409",
"authorized_official_credential": "M.D., FACP"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "0031603190",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.