PRIMARY CARE MEDICAL ASSOCIATES LTD (NPI# 1962590216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962590216 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE MEDICAL ASSOCIATES LTD |
| Practice Address |
1460 N Halsted St Suite 202 Chicago IL 60642-2605 |
| Practice Telephone | 7738714409 |
| Practice Fax Number | 7738713608 |
| Mailing Telephone | 7738714409 |
| Mailing Fax Number | 7738713608 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2011-03-21 |
| Authorized Official Name | ROBERT G PERLMUTER (PRESIDENT) |
| Authorized Official Telephone | 7738714409 |
| Authorized Official Credential | M.D., FACP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS/BLUE SHIELD | 0031603190 | 01 |
| Street Address |
1460 N HALSTED ST SUITE 202 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60642-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235123084 | Youn Joo Hong | Pediatrics | 1460 N Halsted St, Suite 402, Chicago, IL 60642 | 2005-09-08 |
| 1083159487 | Caitrin Standring | Physician Assistant | 1460 N Halsted St, Suite 505, Chicago, IL 60642-2605 | 2016-12-21 |
| 1801330600 | Devin Carey Mcnulty | Psychologist | 1460 N Halsted St, #402, Chicago, IL 60642-2605 | 2016-12-13 |
| 1487012811 | Michelle Garcia | Nurse Practitioner | 1460 N Halsted St, Chicago, IL 60642-2605 | 2016-01-30 |
| 1134590995 | Lurie Childrens Primary Care LLC | Pediatrics | 1460 N Halsted St, Suite 402, Chicago, IL 60642-2605 | 2015-10-19 |
| 1568869469 | Meghan Closser | Nurse Practitioner | 1460 N Halsted St, Suite 401, Chicago, IL 60642-2605 | 2014-11-21 |
| 1265836282 | Emily Rebekah Corley | Psychologist | 1460 N Halsted St, Suite 504, Chicago, IL 60642-2605 | 2014-10-20 |
| 1821400235 | Beth Rachel Rubin | Social Worker | 1460 N Halsted St, Chicago, IL 60642 | 2014-05-20 |
| 1750703104 | Katie Faragher | Nurse Practitioner | 1460 N Halsted St, Suite 402, Chicago, IL 60642-2605 | 2014-01-18 |
| 1568803625 | Divya Asher | Physician Assistant | 1460 N Halsted St, Suite 501, Chicago, IL 60642-2605 | 2013-07-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134612542 | Lauren Gregorcy | Social Worker | 939 W. North Avenue, Suite 750, Chicago, Illinois, 6064, Office 720, Chicago, IL 60642 | 2018-06-11 |
| 1811409030 | Athletico Ltd | Physical Therapist | 819 W Blackhawk St, Ste 819b, Chicago, IL 60642 | 2017-10-27 |
| 1346759693 | Rachel Sherron | Counselor | 938 N Elston, #1, Chicago, IL 60642 | 2017-09-28 |
| 1639612831 | Empathic Resonance, LLC | Clinic/Center | 939 W North Ave Suite 750, Office 721, Chicago, IL 60642 | 2016-11-21 |
| 1053867317 | D Jamieson Brady | Dentist | 1249 N Greenview Ave Apt 1, Chicago, IL 60642 | 2016-08-28 |
| 1548646508 | Kathryn Lee | Massage Therapist | 742 N Ada St, Unit 1, Chicago, IL 60642 | 2015-07-31 |
| 1497149694 | Neda Bahrani | Family Medicine | 1460 N Halsted St Ste 401, Chicago, IL 60642 | 2015-03-25 |
| 1326439431 | Sarah Perez | Counselor | 1332 N. Cleaver St, Apt. 2rr, Chicago, IL 60642 | 2015-02-11 |
| 1780097105 | Michael Sotiriou | Dermatology | 1765 N Elston Ave Ste 110, Chicago, IL 60642 | 2014-06-03 |
| 1285067876 | Tyler Pere Choate | Speech-Language Pathologist | 400 N. May Street, Chicago, IL 60642 | 2013-08-19 |
| Find all providers in zip 60642 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606193 | Thatiana Carolina Schulze Goni | Internal Medicine | 5924 N Lincoln Ave Apt 205, Chicago, IL 60659-3736 | 2020-10-11 |
| 1750995742 | Eva Bartaula | Internal Medicine | 1500 S Fairfield Ave # 3, Chicago, IL 60608-1782 | 2020-09-07 |
| 1750994513 | Ranjit Babu Jasaraj | Internal Medicine | 1500 S Fairfield Ave # F-914, Chicago, IL 60608-1782 | 2020-08-30 |
| 1871106005 | Vijay Ketan Reddy | Internal Medicine | 1500 S Fairfield Ave Dept Roomf914, Chicago, IL 60608-1782 | 2020-08-27 |
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1871119172 | Irina Komissarova | Internal Medicine | 916 S Oakley Blvd, Chicago, IL 60612-4230 | 2020-06-22 |
| 1336760719 | Arslan Zahid | Internal Medicine | 5847 S Maryland Ave, Chicago, IL 60637-1463 | 2020-04-27 |
| 1104447572 | Nirmal Desai | Internal Medicine | 5841 S Maryland Ave., M/c 7082, Chicago, IL 60637-1443 | 2020-04-27 |
| 1467072447 | Justin Edmond Sipiora | Internal Medicine | 5841 S. Maryland Ave Mc 7082, Chicago, IL 60637-1443 | 2020-04-20 |
| 1003449612 | Eoht LLC | Internal Medicine | 1718 W North Shore Ave Apt 11, Chicago, IL 60626-4030 | 2020-02-21 |
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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.