NPIMap

Organization Active NPI

Independent Physician Group of Illinois, LLC

  • Primary Care Clinic/Center
  • Indianapolis, IN
National Provider Identifier
1982020343
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
INDEPENDENT PHYSICIAN GROUP OF ILLINOIS, LLC
Practice address
1 American SQ Ste 2610
Indianapolis, IN 46282-0004
Phone
(866) 434-3255
Fax
(866) 422-0915
NPI assigned
Mar 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Authorized official

Name
Jeffery M Wells MD
Title
President
Phone
(317) 522-0823

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1 American SQ Ste 2610
Indianapolis, IN 46282-0004

Mailing address

4151 E 96TH St
Indianapolis, IN 46240-1442
Phone (866) 434-3255

Other names 1

  • OurClinic @ CNO Chicago Other name

National Provider Directory

National Provider Directory
Tax ID family
Ourhealth Physicians Group LLC69 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1982020343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 E 96TH ST",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462401442",
            "telephone_number": "866-434-3255",
            "fax_number": "866-422-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AMERICAN SQ STE 2610",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462820004",
            "telephone_number": "866-434-3255",
            "fax_number": "866-422-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT PHYSICIAN GROUP OF ILLINOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "WELLS MD",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-522-0823"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OurClinic @ CNO Chicago",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "OurClinic @ CNO Chicago",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2018; 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.