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MICHIGAN AVENUE IMMEDIATE CARE
NPI 1174658694
Family Medicine in Chicago, IL

Active since February 23, 2007CLIA 14D0983917 · Microscopy
180 N MICHIGAN AVE, SUITE 1605, CHICAGO, IL 60601(312) 201-1234(312) 201-1202 Get Directions Write a Review

NPPES record last updated: November 1, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michigan Avenue Immediate Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHIGAN AVENUE IMMEDIATE CARE (NPI 1174658694) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since February 2007. The organization holds a CLIA Microscopy certificate valid through August 1, 2028 and lists James A Runke, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1174658694
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMICHIGAN AVENUE IMMEDIATE CARE
Location Address180 N MICHIGAN AVE, SUITE 1605Chicago, IL 60601-7478
Mailing Address180 N Michigan Ave, Suite 1605Chicago, IL 60601-7478 · (312) 201-1234 · Fax (312) 201-1202
Phone(312) 201-1234
Fax(312) 201-1202
Organization SubpartNo
Authorized OfficialJames A RunkeMedical Director · (312) 201-1234
Enumeration DateFebruary 23, 2007
Last NPPES UpdateNovember 1, 2012
✔ NPI 1174658694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 042.616731
Definition
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.
180 N MICHIGAN AVE, Chicago, IL 60601
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Other Identifiers 1

Medicare UPIND16018IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michigan Avenue Immediate Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Michigan Avenue Immediate Care, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Family Practice8
Internal Medicine2

Clinicians, nearest first (10)

James Barrett, M.D.
Family Practice
NPI 1407863210
180 N MICHIGAN AVE STE 1605
Chicago, IL 60601
(312) 994-3000
✔ PECOS✔ Accepts MedicareSame address
Mona Clor, MD
Family Practice
NPI 1932182003
180 N MICHIGAN AVE STE 1720
Chicago, IL 60601
(312) 994-3000
✔ PECOS✔ Accepts MedicareSame address
Anne-Sophie Kim, MD
Internal Medicine
NPI 1285195396
180 N MICHIGAN AVE STE 1720
Chicago, IL 60601
(312) 994-3000
✔ PECOS✔ Accepts MedicareSame address
Jeanette Kelly, D.O.
Family Practice
NPI 1154769081
180 N MICHIGAN AVE STE 1605
Chicago, IL 60601
(312) 994-3000
✔ PECOS✔ Accepts MedicareSame address
Ulrike Lengyel, MD
Family Practice
NPI 1790983831
180 N MICHIGAN AVE SUITE 1605
Chicago, IL 60601
(312) 201-1234
✔ PECOS✔ Accepts MedicareSame address
James Runke, M.D.
Internal Medicine
NPI 1952425035
180 N MICHIGAN AVE SUITE 1605
Chicago, IL 60601
(312) 201-1234
✔ PECOS✔ Accepts MedicareSame address
Michael Kupkowski, M.D.
Family Practice
NPI 1598081598
2001 W ADDISON ST
Chicago, IL 60618
(773) 796-2280
✔ PECOS✔ Accepts Medicare5.1 mi
Joshua Merok, M.D.
Family Practice
NPI 1063685451
2001 W ADDISON ST
Chicago, IL 60618
(773) 796-2280
✔ PECOS✔ Accepts Medicare5.1 mi
Lauren Miller, DO
Family Practice
NPI 1790280881
4423 N RAVENSWOOD AVE
Chicago, IL 60640
(773) 432-6570
✔ PECOS5.9 mi
Carrie Salvia, D.O.
Family Practice
NPI 1144675596
4140 SOUTHWEST HWY
Hometown, IL 60456
(708) 422-5700
✔ PECOS✔ Accepts Medicare12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D0983917

Michigan Avenue Immediate Care · Chicago, IL
Active · expires Aug 1, 2028
CLIA Number14D0983917
Laboratory TypePhysician Office
Certificate Effective DateAugust 2, 2026
Certificate Expiration DateAugust 1, 2028
Laboratory DirectorJames A. Runke MD
Laboratory Phone(312) 201-1234
Laboratory LocationMichigan Avenue Immediate Care180 N Michigan Ave, Ste 1605, Chicago, IL 60601
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michigan Avenue Immediate Care's NPI number?

The NPI number for Michigan Avenue Immediate Care is 1174658694. It was assigned to this organization in the NPPES registry on February 23, 2007.

Where is Michigan Avenue Immediate Care located?

Michigan Avenue Immediate Care is located at 180 N Michigan Ave Suite 1605, Chicago, IL 60601. The listed phone number is (312) 201-1234.

What is Michigan Avenue Immediate Care's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michigan Avenue Immediate Care enrolled in Medicare?

Yes. Michigan Avenue Immediate Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Michigan Avenue Immediate Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Michigan Avenue Immediate Care. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (8) and Internal Medicine (2). Of these, 6 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Michigan Avenue Immediate Care hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D0983917) is associated with this NPI, valid through August 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Michigan Avenue Immediate Care was last updated on November 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.