Active NPI
Uptown Medical Center Inc
- Cardiovascular Disease Physician
- Chicago, IL
National Provider Identifier
1962668137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036046837
- Legal business name
- UPTOWN MEDICAL CENTER INC
- Practice address
- 4527 N Sheridan Rd
Chicago, IL 60640-5608 - Phone
- (773) 275-1880
- Fax
- (773) 275-1813
- NPI assigned
- Aug 6, 2008
- 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. Jayant C Bhalerao, M.D
- Title
- Director Clinic
- Phone
- (733) 257-1880
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036046837 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 036046837 | IL | Primary |
Addresses
Primary practice location
4527 N Sheridan Rd
Chicago, IL 60640-5608
Mailing address
4527 N Sheridan Rd
Chicago, IL 60640-5608
Phone (773) 275-1880
National Provider Directory
National Provider DirectoryLocations
4527 N Sheridan Rd
Chicago, IL 60640
Phone (773) 275-1880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217980800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219708800000",
"number": "1962668137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4527 N SHERIDAN RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405608",
"telephone_number": "773-275-1880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4527 N SHERIDAN RD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405608",
"telephone_number": "773-275-1880",
"fax_number": "773-275-1813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UPTOWN MEDICAL CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-06",
"last_updated": "2008-08-26",
"status": "A",
"authorized_official_last_name": "BHALERAO",
"authorized_official_first_name": "JAYANT",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "DIRECTOR CLINIC",
"authorized_official_telephone_number": "733-257-1880",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IL",
"license": "036046837",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036046837",
"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 Aug 26, 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.