Adult Primary Care Center, LTD.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ADULT PRIMARY CARE CENTER, LTD.

Practice address

10837 S Cicero Ave Ste 320
Oak Lawn, IL 60453-5403

Phone

(708) 636-1601

NPI assigned

Nov 11, 2008

Last updated

Nov 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert A. Raines, M.D.NPI 1164499596

Title

President

Phone

(708) 636-1601

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 9

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.

• Eugene A Muzykansky, MD

  • Internal Medicine Physician
  • Oak Lawn, IL
  • NPI 1457328874
  Medicare reassignment Care Compare group NPD
• Brittany Ann Sewell, N.P.

  • Family Nurse Practitioner
  • Oak Lawn, IL
  • NPI 1194180356
  Medicare reassignment Care Compare group NPD
• Joanna Sturnieks

  • Nurse Practitioner
  • Oak Lawn, IL
  • NPI 1861026585
  Medicare reassignment Care Compare group NPD
• Katarzyna G Wilk, APRN

  • Primary Care Nurse Practitioner
  • Oak Lawn, IL
  • NPI 1477234698

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Joseph A Kowalczyk, MD

  • Internal Medicine Physician
  • Oak Lawn, IL
  • NPI 1831166255
  Medicare reassignment Care Compare group
• Courtenay A Vihtelic, APN

  • Nurse Practitioner
  • Oak Lawn, IL
  • NPI 1689067183
  Medicare reassignment NPD
• Robert A Raines, MD

  • Internal Medicine Physician
  • Oak Lawn, IL
  • NPI 1164499596
  Authorized official Same address or phone
• Marissa Guerrero, MSN, FNP-BC

  • Family Nurse Practitioner
  • Oak Lawn, IL
  • NPI 1548746548
  NPD (past)
• Lori Short, APN

  • Adult Health Nurse Practitioner
  • Oak Lawn, IL
  • NPI 1336523760
  NPD (past)

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1972757409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532696",
            "telephone_number": "708-636-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10837 S CICERO AVE STE 320",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535403",
            "telephone_number": "708-636-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT PRIMARY CARE CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "RAINES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-636-1601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ademola Akeem Adeoshun, MD
• Zynab Adewusi
• Olaoluwa Michael Adeyemi, M.D
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• Advanced Clinics PC
• Advanced Eyecare Professionals, P.C.
• Advanced Orthopedic & Spine Care
• Advanced Rehabilitaion Services Inc

• Internal Medicine Physician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.