MEDSPRING PRIME, PA (NPI# 1710314174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710314174 |
| Entity Type | Organization |
| Organization Name | MEDSPRING PRIME, PA |
| Other Organization Name | MEDSPRING |
| Practice Address |
2868 N Broadway St Chicago IL 60657-6017 |
| Mailing Address |
Po Box 160247 Austin TX 78716-0247 |
| Practice Telephone | 7735693525 |
| Practice Fax Number | 5124857393 |
| Mailing Telephone | 8889800505 |
| Mailing Fax Number | 5124857393 |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2013-10-01 |
| Authorized Official Name | DR. JON LESLIE BELSHER (CMO) |
| Authorized Official Telephone | 5124026235 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MedSpring | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265869614 | Medspring Prime, Pa | Clinic/Center | 1403 Hwy 6, Suite 100, Sugar Land, TX 77478-4929 | 2013-10-01 |
| 1275960627 | Medspring Prime, Pa | Clinic/Center | 1820 Gattis School Rd, Round Rock, TX 78664-9777 | 2013-10-01 |
| 1972930956 | Medspring Prime, Pa | Clinic/Center | 14045 Memorial Dr, Suite 400, Houston, TX 77079-6826 | 2013-10-04 |
| 1184051534 | Medspring Prime, Pa | Clinic/Center | 3906 N Lamar Blvd, Suite 100, Austin, TX 78756-4025 | 2013-10-01 |
| 1801223268 | Medspring Prime, Pa | Clinic/Center | 902 W Dundee Rd, Arlington Heights, IL 60004-7823 | 2013-10-01 |
| 1457788804 | Medspring Prime, Pa | Clinic/Center | 2120 Guadalupe St, Suite 100, Austin, TX 78705-5516 | 2013-10-01 |
| 1366879710 | Medspring Prime, Pa | Clinic/Center | 208 W Ben White Blvd, Austin, TX 78704-7126 | 2013-10-01 |
| 1639506082 | Medspring Prime, Pa | Clinic/Center | 1250 S Capital of Texas Hwy, Building 1 Suite 500, West Lake Hills, TX 78746-6446 | 2013-10-01 |
| 1356778708 | Medspring Prime, Pa | Clinic/Center | 1450 Kingwood Dr, Kingwood, TX 77339-3040 | 2013-10-01 |
| 1720415177 | Medspring Prime, Pa | Clinic/Center | 6501 S Fry Rd, Suite 1000, Katy, TX 77494-3376 | 2013-10-01 |
| Street Address |
2868 N BROADWAY ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-6017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235364761 | Jonathan Carl Alde | Family Medicine | 2868 N Broadway St, Chicago, IL 60657-6017 | 2009-05-28 |
| 1912546722 | Midwest Express Care 2, Inc | Clinic/Center | 2868 N Broadway St, Chicago, IL 60657-6017 | 2019-12-26 |
| 1437706314 | Michael Cecchetto | Nurse Practitioner | 2868 N Broadway St, Chicago, IL 60657-6017 | 2019-08-24 |
| 1962977223 | Kristina Louise Belanger | Nurse Practitioner | 2868 N Broadway St, Chicago, IL 60657-6017 | 2018-10-12 |
| 1932572344 | Cally Espegard | Physician Assistant | 2868 N Broadway St, Chicago, IL 60657-6017 | 2015-11-06 |
| 1497127765 | Najwa Saleh | Nurse Practitioner | 2868 N Broadway St, Chicago, IL 60657-6017 | 2015-10-27 |
| 1861730590 | Medspring of Texas, Pa | Clinic/Center | 2868 N Broadway St, Chicago, IL 60657-6447 | 2013-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
| 1538792221 | Greenbax Health Solutions, LLC | Clinic/Center | 4922 W Chicago Ave, Chicago, IL 60651-3142 | 2020-02-20 |
| 1033760780 | Careatc | Clinic/Center | 600 S Michigan Ave # 402, Chicago, IL 60605-1900 | 2019-09-24 |
| 1356814503 | Thompson Medical Incorporated | Clinic/Center | 933 E Hyde Park Blvd Ste G, Chicago, IL 60615-2722 | 2019-01-09 |
| 1497251037 | Thomas L Pitts, Md LLC | Clinic/Center | 233 E Erie St Ste 702, Chicago, IL 60611-5933 | 2018-04-03 |
| 1407209208 | Mount Sinai Hospital Medical Center | Clinic/Center | 1501 S California Ave # L1026, Chicago, IL 60608-1732 | 2016-07-16 |
| 1487058731 | Encinas Medical Center | Clinic/Center | 4614 S Ashland Ave, Chicago, IL 60609-3251 | 2014-10-15 |
| 1366872061 | Lawndale Christian Health Center | Clinic/Center | 5122 S Archer Ave, Chicago, IL 60632-4508 | 2013-11-15 |
| 1083051643 | Oak Street Health Physicians Group, PC | Clinic/Center | 30 W Monroe St Ste 1200, Chicago, IL 60603-2420 | 2013-05-22 |
| 1043564529 | Triple S Medical Care S.c. | Clinic/Center | 6455 S Pulaski Rd, Chicago, IL 60629 | 2012-11-05 |
| 1548541022 | Valentinalb,s.c. | Clinic/Center | 5108 N Lincoln Ave, Chicago, IL 60625-7295 | 2011-08-29 |
| Find all providers in CHICAGO | ||||
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| 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.