Organization Active NPI

Target Corporation

  • Health Service Clinic/Center
  • Chicago, IL
National Provider Identifier
1962833368
Registry record updated Dec 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
209011031 Issued in IL
Legal business name
TARGET CORPORATION
Practice address
2112 W Peterson Ave
Chicago, IL 60659-4277
Phone
(773) 761-3001
NPI assigned
Dec 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2013

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

Authorized official

Name
Paul Teufer
Title
Administrative Official
Phone
(612) 761-5638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 209011031 IL Primary

Addresses

Primary practice location

2112 W Peterson Ave
Chicago, IL 60659-4277

Mailing address

2112 W Peterson Ave
Chicago, IL 60659-4277
Phone (773) 761-3001

National Provider Directory

National Provider Directory
Tax ID family
Target Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1962833368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594277",
            "telephone_number": "773-761-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594277",
            "telephone_number": "773-761-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "TEUFER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "ADMINISTRATIVE OFFICIAL",
        "authorized_official_telephone_number": "612-761-5638"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IL",
            "license": "209011031",
            "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 Dec 10, 2013; 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.