CARITAS PHYSICIANS GROUP – NPI #1275004442
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

CARITAS PHYSICIANS GROUP is a provider located in CHICAGO, IL. NPPES has assigned the NPI number 1275004442 to CARITAS PHYSICIANS GROUP on December 16, 2018. 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 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 6 years ago on Oct 08, 2020. 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 CARITAS PHYSICIANS GROUP below.

NPI Profile for
CARITAS PHYSICIANS GROUP

NPI Number
1275004442
Enumeration Date

(more than 7 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
CARITAS PHYSICIANS GROUP
Primary location
140 NORTH ASHLAND AVENUE
CHICAGO, IL 60607
Phone: (312) 850-9411 Fax: (312) 850-3288
Mailing address
1301 WEST 22ND STREET
SUITE 500
OAK BROOK, IL 60523
Phone: (630) 572-8228 Fax: (630) 572-0566
Organization Subpart
Yes - CARITAS PHYSICIANS GROUP is subpart of another organization.
Authorized Official
JESSECA WATSON
CONTRACTS AND CREDENTIALING MANAGER
Phone: (630) 572-8228
Updated
Certification Date
Oct 08, 2020

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.

Identifiers

Identifiers for CARITAS PHYSICIANS GROUP

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL0023
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
208D00000X
- General Practice (Primary)
207QA0401X
- Family Medicine / Addiction Medicine
207Q00000X
- Family 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.