KEYCARE MEDICAL OF NEW JERSEY, P.C. – NPI #1518673342
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

KEYCARE MEDICAL OF NEW JERSEY, P.C. is a provider located in CHICAGO, IL. NPPES has assigned the NPI number 1518673342 to KEYCARE MEDICAL OF NEW JERSEY, P.C. on January 25, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KEYCARE MEDICAL OF NEW JERSEY, P.C. below.

NPI Profile for
KEYCARE MEDICAL OF NEW JERSEY, P.C.

NPI Number
1518673342
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KEYCARE MEDICAL OF NEW JERSEY, P.C.
Primary location
1713 W. DIVERSEY PKWY
SUITE G
CHICAGO, IL 60614
Phone: (331) 472-7443 Fax:
Mailing address
1440 W TAYLOR ST # 227
CHICAGO, IL 60607-4623
Phone: (331) 472-7443 Fax:
Organization Subpart
No
Authorized Official
KARIL WALTHER
VICE PRESIDENT PRACTICE OPERATIONS
Phone: (608) 235-7970
Updated
Certification Date
Jan 12, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)
208000000X
- Pediatrics
207R00000X
- Internal Medicine
207P00000X
- Emergency Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.