First Choice Chicago, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FIRST CHOICE CHICAGO, LLC

Practice address

9999 W Roosevelt Rd
Suite 101
Westchester, IL 60154-2775

Phone

(708) 938-5238

Fax

(708) 938-5239

NPI assigned

Sep 20, 2011

Organization subpart

No

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

Authorized official

Name

Velma Smith

Title

Manager

Phone

(708) 938-5238

Specialties & licenses 2

Addresses

Other names 1

• Medical Access Group, LLC Other name

Locations

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1972886612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9999 W ROOSEVELT RD",
            "address_2": "SUITE 101",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542775",
            "telephone_number": "708-938-5238",
            "fax_number": "708-938-5239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9999 W ROOSEVELT RD",
            "address_2": "SUITE 101",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542775",
            "telephone_number": "708-938-5238",
            "fax_number": "708-938-5239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE CHICAGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "VELMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-938-5238"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Access Group, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristen Faith Fahnstrom, M.A. CCC-SLP
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• Daniel Ference, LCPC
• Alexis Fernandez
• Linda Anne Flajnik-Peter, R. N.
• Kenyata M Fletcher, PHD, LPC, CRADC
• Floss Dental Studios
• Form Physical Therapy, LLC
• Fox Rehabilitation Services Il LLC

• Clinic/Center in Westchester, IL
• Providers in Westchester, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.