UNIVERSITY OF CHICAGO PHYSICIANS GROUP


Address: 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594
Phone: 7737953456

UNIVERSITY OF CHICAGO PHYSICIANS GROUP (NPI# 1487990156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487990156
Entity Type Organization
Organization Name UNIVERSITY OF CHICAGO PHYSICIANS GROUP
Practice Address 180 Harvester Dr
Suite 110
Burr Ridge
IL 60527-7594
Mailing Address 11751 S Ewing Ave
Chicago
IL 60617-7300
Practice Telephone 7737953456
Mailing Telephone 7736469864
Enumeration Date 2012-12-27
Last Update Date 2012-12-27
Authorized Official Name MRS. SARA SAATHOFF (CHIEF HR OFFICER)
Authorized Official Telephone 7737953456
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
209009409 IL Ambulatory Health Care Facilities

Office Location

Street Address 180 HARVESTER DR
SUITE 110
City BURR RIDGE
State IL
Zip Code 60527-7594

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386611903 Bryan N Becker Internal Medicine 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 2006-03-02
1144639527 Andrew Richardson Nurse Practitioner 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 2014-08-11
1720403843 Joyce Eapen Nurse Practitioner 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 2014-02-26
1902234941 Brittany Beach Internal Medicine 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 2013-10-30
1164850244 Kimberly Salminen Physician Assistant 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 2013-10-28
1992139281 Kristine Marie Bowersox Physician Assistant 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 2013-08-22
1255771093 Eric Shappell Emergency Medicine 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527 2013-06-25
1467895805 Monica Rojas Dietitian, Registered 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 2013-04-16
1699011189 Leticia Lemus Nurse Practitioner 180 Harvester Dr, Burr Ridge, IL 60527-7594 2013-01-02
1982959466 Ann Eagan Arcese Nurse Practitioner 180 Harvester Dr, Suite 110, Burr Ridge, IL 60527-7594 2012-07-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023635364 Crystal Mary Dirks Occupational Therapy Assistant 211 75th St, Burr Ridge, IL 60527 2020-07-02
1386276350 Valerie Moreno-tucker Counselor 277 83rd St, Burr Ridge, Il 60527, Burr Ridge, IL 60527 2020-02-07
1831734763 Annette Maria Zajac Occupational Therapist 16 91st St., Burr Ridge, IL 60527 2019-11-14
1568023109 Jennifer Rogers Counselor 277 83rd St., Ste. D, Burr Ridge, IL 60527 2019-06-25
1710458526 Dima Sibai Dds PC Clinic/Center 940 Plianfield Rd., Willowbrook, IL 60527 2018-12-06
1558850495 Jeanie C. Lucy PC Optometrist 6340 Americana Drive Suite 1108, Willowbrook, IL 60527 2018-05-07
1538664032 Athletico,ltd Physical Therapist 6860 N Frontage Rd Ste B, Burr Ridge, IL 60527 2018-03-27
1003314832 Ams Wellness Pllc Psychologist 277 83rd St Ste D, Burr Ridge, IL 60527 2018-01-26
1023564671 Natasa Manasovska Dentist 6111 Knollwood Rd, Apt. 103, Willowbrook, IL 60527 2016-09-01
1669927893 Marie Ann Korallus Nurse Practitioner 7055 High Grove, Burr Ridge, IL 60527 2016-08-17
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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1689299257 Precision Immediate Care and Medical Center, LLC Clinic/Center 3520 W North Ave, Stone Park, IL 60165-1042 2020-06-10
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1558995779 Signature Medical Clinic LLC Clinic/Center 2020 Dean St Ste G, St Charles, IL 60174-1665 2020-02-26
1861024176 Mount Sinai Community Foundation Clinic/Center 1414 S Fairfield, Chicago, IL 60608 2020-02-05
1104460922 Infinite Care Home Physicians LLC Clinic/Center 6044 N Nassau Ave, Chicago, IL 60631-2649 2019-11-05
1962051607 Wilkes Post Acute Care Inc Clinic/Center 400 W 76th St Ste 303, Chicago, IL 60620-1640 2019-09-05
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Competitor

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City BURR RIDGE
Zip Code 60527

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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