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: July 19, 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
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

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.

Family Medicine
10627 S PULASKI RD
CHICAGO, IL 60655
Family Medicine
10627 S PULASKI RD
CHICAGO, IL 60655

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275729303, enumerated as an "organization" on September 21, 2007.

The provider is located at 10627 S PULASKI RD CHICAGO, IL 60655 and the phone number is (773) 779-9300.

Preferred Provider Organization with taxonomy code 305R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.