North Ave Immediate Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTH AVE IMMEDIATE CARE

Practice address

350 W North Ave
Addison, IL 60101-4911

Phone

(773) 744-7864

NPI assigned

Mar 17, 2023

Organization subpart

No

Name

Mirza Baig, MDNPI 1679868707

Title

President

Phone

(773) 744-7864

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mirza A Baig, MD

  • Family Medicine Physician
  • Addison, IL
  • NPI 1679868707

  IL

  Medicare reassignment Authorized official
• Raia Dexter, PA-C

  • Physician Assistant
  • Schaumburg, IL
  • NPI 1770442659

  IL

  Medicare reassignment NPD
• Ana K Gilman, NP-C

  • Family Nurse Practitioner
  • Bellwood, IL
  • NPI 1093331837

  IL

  Medicare reassignment NPD

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

CLIA laboratory certificates

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 12, 2023.

{
    "created_epoch": "1679011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1982306742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W NORTH AVE",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601014911",
            "telephone_number": "773-744-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W NORTH AVE",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601014911",
            "telephone_number": "773-744-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH AVE IMMEDIATE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-17",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "BAIG",
        "authorized_official_first_name": "MIRZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-744-7864",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Addison, IL
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.