SMG SOUTH STATE HEALTH CENTER
NPI 1366787012
Family Medicine in Chicago, IL

Active since December 06, 2012
5050 S STATE ST, CHICAGO, IL 60609(773) 257-1110 Get Directions Write a Review

NPPES record last updated: December 6, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Smg South State Health Center NPPES

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

SMG SOUTH STATE HEALTH CENTER (NPI 1366787012) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since December 2012. The organization lists David Berkey, Vice President Physician Services, as its authorized official.

NPPES Registry Identity

NPI1366787012
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSMG SOUTH STATE HEALTH CENTER
Location Address5050 S STATE STChicago, IL 60609-5302
Mailing Address5050 S State StChicago, IL 60609-5302 · (773) 257-1110
Organization SubpartYesParent: Mt Sinai Community Foundation Dba Sinia Medical Group
Authorized OfficialDavid BerkeyVice President Physician Services · (773) 257-2664
Enumeration DateDecember 6, 2012
NPI 1366787012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
5050 S STATE ST, Chicago, IL 60609

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Clinic/Center (Federally Qualified Health Center (FQHC))
5050 S STATE ST, 2ND FLOOR
CHICAGO, IL 60609

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 Smg South State Health Center's NPI number?

The NPI number for Smg South State Health Center is 1366787012. It was assigned to this organization in the NPPES registry on December 6, 2012.

Where is Smg South State Health Center located?

Smg South State Health Center is located at 5050 S State St, Chicago, IL 60609. The listed phone number is (773) 257-1110.

What is Smg South State Health Center's specialty?

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

When was this NPI record last updated?

The NPPES record for Smg South State Health Center was last updated on December 6, 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.