Organization Active NPI

Cermak Health Services

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1972726701
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085-001311 Issued in IL
Legal business name
CERMAK HEALTH SERVICES
Practice address
2800 South California Avenue
Chicago, IL 60608
Phone
(773) 869-2954
Fax
(773) 869-3578
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2008

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

Authorized official

Name
Prof. Harry J. Przekop Jr., PA-C PHYSICISTNPI 1497972848
Title
PA-C Physicist
Phone
(773) 869-2954

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 085-001311 IL Primary

Addresses

Primary practice location

2800 South California Avenue
Chicago, IL 60608

Mailing address

950 West Lake Street
Chicago, IL 60607-1718
Phone (773) 869-2954

Other names 1

  • CORE CEnter Other name

National Provider Directory

National Provider Directory

Locations

950 W Lake St
Chicago, IL 60607

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": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1972726701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 WEST LAKE STREET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071718",
            "telephone_number": "773-869-2954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 SOUTH CALIFORNIA AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60608",
            "telephone_number": "773-869-2954",
            "fax_number": "773-869-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERMAK HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "PRZEKOP",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PA-C PHYSICIST",
        "authorized_official_telephone_number": "773-869-2954",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PA-C PHYSICIST"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085-001311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORE CEnter",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 7, 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.