Organization Active NPI

Primary Care Providers of Chicago SC

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1972624799
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036100881 Issued in IL
Legal business name
PRIMARY CARE PROVIDERS OF CHICAGO SC
Practice address
7447 W Talcott Ave
Suite 216
Chicago, IL 60631-3745
Phone
(773) 631-0566
Fax
(773) 631-4436
NPI assigned
Apr 2, 2007
Last updated
Nov 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Authorized official

Name
Ms. Falguni Shah
Title
Practice Manager
Phone
(773) 631-0566

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036095721 IL
Family Medicine Physician 207Q00000X 036133839 IL
Internal Medicine Physician 207R00000X 036100881 IL Primary

Addresses

Primary practice location

7447 W Talcott Ave
Suite 216
Chicago, IL 60631-3745

Mailing address

7447 W Talcott Ave Ste 216
Chicago, IL 60631-3713
Phone (773) 631-0566

Other practice location 1

150 N River Rd Ste 100
Des Plaines, IL 60016-1272
Phone (773) 631-0566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080303000135 IL Part B Supplier - Clinic/Group Practice 1759465636 Receives reassigned benefits from 11 practitioners
Practice locations: Chicago, IL; Des Plaines, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0716111Primary Care Providers of Chicago SC7447 W Talcott Suite 216, Chicago, IL 60631Certificate of waiverDec 18, 2026
14D2336395Primary Care Providers of Chicago150 N River Rd - Ste 100, Des Plaines, IL 60016Certificate of waiverJan 1, 2028

National Provider Directory

National Provider Directory

Locations

4250 N Oak Park Ave
Chicago, IL 60634
Phone (708) 515-4160

150 N River Rd
Ste 100
Des Plaines, IL 60016
Phone (847) 298-0310

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1972624799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE STE 216",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313713",
            "telephone_number": "773-631-0566",
            "fax_number": "773-631-4436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "SUITE 216",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313745",
            "telephone_number": "773-631-0566",
            "fax_number": "773-631-4436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 N River Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Des Plaines",
            "state": "IL",
            "postal_code": "600161272",
            "country_code": "US",
            "telephone_number": "773-631-0566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRIMARY CARE PROVIDERS OF CHICAGO SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "FALGUNI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "773-631-0566",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036095721",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036133839",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036100881",
            "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 Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.