Organization Active NPI

Jil Medical Consultant

  • Community Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1962664268
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
License
036-09434 Issued in IL
Legal business name
JIL MEDICAL CONSULTANT
Practice address
5500 S Damen Ave
Chicago, IL 60636-1107
Phone
(773) 776-8800
Fax
(773) 776-8801
NPI assigned
Jun 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Mrs. Dessa Benton, REGISTERED NURSE
Title
Advance Practice Nurse
Phone
(773) 776-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X 036-09434 IL Primary

Addresses

Primary practice location

5500 S Damen Ave
Chicago, IL 60636-1107

Mailing address

5500 S Damen Ave
Chicago, IL 60636-1107
Phone (773) 776-8800

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11745/brand/1/csg/1/fhir/r4

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": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1962664268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 S DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606361107",
            "telephone_number": "773-776-8800",
            "fax_number": "773-776-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 S DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606361107",
            "telephone_number": "773-776-8800",
            "fax_number": "773-776-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIL MEDICAL CONSULTANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "DESSA",
        "authorized_official_title_or_position": "ADVANCE PRACTICE NURSE",
        "authorized_official_telephone_number": "773-776-8800",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "IL",
            "license": "036-09434",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 27, 2008; 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.