Organization Active NPI

Uptown Medical Center Inc

  • Cardiovascular Disease Physician
  • Chicago, IL
National Provider Identifier
1962668137
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036046837 Issued in IL
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

Updated by the provider on Aug 26, 2008

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 036046837 IL
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.