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SOUTHCARE FAMILY PRACTICE
NPI 1275729303
Preferred Provider Organization in Chicago, IL

Active since September 21, 2007
10627 S PULASKI RD, CHICAGO, IL 60655(773) 779-9300(773) 779-5768 Get Directions Write a Review

NPPES record last updated: March 8, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southcare Family Practice NPPES

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

SOUTHCARE FAMILY PRACTICE (NPI 1275729303) is a healthcare organization registered as a preferred provider organization in Chicago, Illinois and active in the NPI registry since September 2007. The organization lists Peter F Macentee, President, as its authorized official.

NPPES Registry Identity

NPI1275729303
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameMACENTEE KNOX & VARGAS MDS
Location Address10627 S PULASKI RDChicago, IL 60655-3827
Mailing Address10627 S Pulaski RdChicago, IL 60655-3827 · (773) 779-9300 · Fax (773) 779-5768
Phone(773) 779-9300
Fax(773) 779-5768
Organization SubpartNo
Authorized OfficialPeter F MacenteePresident · (773) 779-9300
Enumeration DateSeptember 21, 2007
Last NPPES UpdateMarch 8, 2011
✔ NPI 1275729303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
Licenses✔ Licensed in IL · 036072512✔ Licensed in IL · 036047977
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
Also ListedPoint of ServiceTaxonomy 305S00000X · License 036063080 (IL)
10627 S PULASKI RD, Chicago, IL 60655
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Other Names 1

Doing Business AsSouthcare Family Practice

Other Identifiers 4

Medicare PIN750290IL
Medicare PINP09567IL
Medicare PINL77296IL
Medicare PINP09566IL

Other Providers at the Same Location NPPES 2

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

DR. PETER F MACENTEE M.D.
Family Medicine
10627 S PULASKI RD
CHICAGO, IL 60655
Cook County (773) 779-9300
DR. RAFAEL J VARGAS-ZAPATA M.D.
Family Medicine
10627 S PULASKI RD
CHICAGO, IL 60655
Cook County (773) 779-9300

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 Macentee Knox & Vargas Mds's NPI number?

The NPI number for Macentee Knox & Vargas Mds is 1275729303. It was assigned to this organization in the NPPES registry on September 21, 2007. The provider is doing business as Southcare Family Practice.

Where is Macentee Knox & Vargas Mds located?

Macentee Knox & Vargas Mds is located at 10627 S Pulaski Rd, Chicago, IL 60655. The listed phone number is (773) 779-9300.

What is Macentee Knox & Vargas Mds's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Macentee Knox & Vargas Mds was last updated on March 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.