MAYUGA MEDICAL PRACTICE
NPI 1396789053
Internal Medicine - Cardiovascular Disease in Chicago, IL

Active since June 15, 2006
2800 N SHERIDAN RD, SUITE303, CHICAGO, IL 60657(773) 281-7660 Get Directions Write a Review

NPPES record last updated: March 25, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mayuga Medical Practice NPPES

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

MAYUGA MEDICAL PRACTICE (NPI 1396789053) is a healthcare organization registered as a cardiovascular disease in Chicago, Illinois and active in the NPI registry since June 2006. The organization lists Ruperto Mayuga, President, as its authorized official.

NPPES Registry Identity

NPI1396789053
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameMAYUGA MEDICAL PRACTICE
Location Address2800 N SHERIDAN RD, SUITE303Chicago, IL 60657-6156
Mailing Address18w 163 Holly AveDarien, IL 60561 · (847) 676-0091 · Fax (847) 676-2374
Organization SubpartNo
Authorized OfficialRuperto MayugaPresident · (773) 281-7660
Enumeration DateJune 15, 2006
Last NPPES UpdateMarch 25, 2014
NPI 1396789053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in IL · 036075687
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2800 N SHERIDAN RD, Chicago, IL 60657

Other Identifiers 3

Medicaid036075687IL
Other01605124IL · Blue Cross Blue Shield Il
Medicare ID-Type Unspecified200943IL

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 20

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

Dentist (Prosthodontics)
2800 N SHERIDAN RD, SUITE 204
CHICAGO, IL 60657
Specialist
2800 N SHERIDAN RD, SUITE 100
CHICAGO, IL 60657
Internal Medicine (Cardiovascular Disease)
2800 N SHERIDAN RD, SUITE 303
CHICAGO, IL 60657
Psychiatry & Neurology (Psychiatry)
2800 N SHERIDAN RD, SUITE 502
CHICAGO, IL 60657
Dentist
2800 N SHERIDAN RD, SUITE 400
CHICAGO, IL 60657
Internal Medicine (Pulmonary Disease)
2800 N SHERIDAN RD, STE 301
CHICAGO, IL 60657
Internal Medicine (Interventional Cardiology)
2800 N SHERIDAN RD, SUITE 510
CHICAGO, IL 60657
Dermatology
2800 N SHERIDAN RD, SUITE #210
CHICAGO, IL 60657

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 Mayuga Medical Practice's NPI number?

The NPI number for Mayuga Medical Practice is 1396789053. It was assigned to this organization in the NPPES registry on June 15, 2006.

Where is Mayuga Medical Practice located?

Mayuga Medical Practice is located at 2800 N Sheridan Rd Suite303, Chicago, IL 60657. The listed phone number is (773) 281-7660.

What is Mayuga Medical Practice's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Mayuga Medical Practice was last updated on March 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.