1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Clinic Center
  6. NPI Profile

JEFFERSON PARK MEDICAL CENTER
NPI 1194934208
Clinic/Center - Medical Specialty in Chicago, IL

Active since May 22, 2007
4955 N MILWAUKEE AVE, CHICAGO, IL 60630(630) 209-8405(773) 736-1403 Get Directions Write a Review

NPPES record last updated: July 10, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jefferson Park Medical Center NPPES

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

JEFFERSON PARK MEDICAL CENTER (NPI 1194934208) is a healthcare organization registered as a medical specialty in Chicago, Illinois and active in the NPI registry since May 2007. The organization lists Pierre Chatelain, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1194934208
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameJEFFERSON PARK MEDICAL CENTER
Location Address4955 N MILWAUKEE AVEChicago, IL 60630-2286
Mailing Address4955 N Milwaukee AveChicago, IL 60630-2286 · (630) 209-8405 · Fax (773) 736-1403
Phone(630) 209-8405
Fax(773) 736-1403
Organization SubpartNo
Authorized OfficialPierre ChatelainOperations Manager · (630) 209-8405
Enumeration DateMay 22, 2007
Last NPPES UpdateJuly 10, 2008
✔ NPI 1194934208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
4955 N MILWAUKEE AVE, Chicago, IL 60630
Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified495301IL
Medicaid036046595IL

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LAKSHMAIAH B N SETTY MD SC
Internal Medicine (Gastroenterology)
4955 N MILWAUKEE AVE, SUITE #7
CHICAGO, IL 60630
Cook County (773) 725-5044
DR. MILROY S EMMANUEL MD
Radiology (Diagnostic Neuroimaging)
4955 N MILWAUKEE AVE, SUITE 1
CHICAGO, IL 60630
Cook County (773) 736-3770
METRO PORTABLE X-RAY SERVICE
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
4955 N MILWAUKEE AVE, SUITE 1
CHICAGO, IL 60630
Cook County (773) 736-1402
MIDWEST RADIOLOGY ILLINOIS, LTD
Clinic/Center (Radiology, Mobile)
4955 N MILWAUKEE AVE, SUITE 8
CHICAGO, IL 60630
Cook County (773) 736-6283
B N L SETTY MD SC
Specialist
4955 N MILWAUKEE AVE, SUITE 7
CHICAGO, IL 60630
Cook County (773) 725-5044

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 Jefferson Park Medical Center's NPI number?

The NPI number for Jefferson Park Medical Center is 1194934208. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is Jefferson Park Medical Center located?

Jefferson Park Medical Center is located at 4955 N Milwaukee Ave, Chicago, IL 60630. The listed phone number is (630) 209-8405.

What is Jefferson Park Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Jefferson Park Medical Center was last updated on July 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.