SMG ARCHER POB
NPI 1568883908
Internal Medicine in Chicago, IL

NPI Status: Active since January 03, 2014

Contact Information

4900 S ARCHER AVE
CHICAGO, IL
ZIP 60632
Phone: (773) 767-0100
Fax: (773) 767-9690

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  • Organization
  • Internal Medicine

About SMG ARCHER POB

This page provides the complete NPI Profile along with additional information for Smg Archer Pob, an internist established in Chicago, Illinois operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1568883908 assigned on January 2014. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. Smg Archer Pob operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Smg Archer Pob. The authorized official of this NPI record is John E Vazquez Md (Cmo)

NPI
1568883908
Provider Legal Name
MOUNT SINAI COMMUNITY FOUNDATION
Other Organization Name
SMG ARCHER POB
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4900 S ARCHER AVE CHICAGO, IL 60632
Location Phone
(773) 767-0100
Location Fax
(773) 767-9690
Mailing Address
6084 S ARCHER AVE CHICAGO, IL 60638
Mailing Phone
(773) 585-1943
Mailing Fax
(773) 767-9690
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-03-2014
Last Update Date
06-24-2019
Code Navigator

An internist like Smg Archer Pob is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN E VAZQUEZ MD

Authorized Official Title
CMO
Authorized Official Phone
(773) 257-6850

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1568883908
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25128168690
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 6 + 8 + 6 + 9 + 0 + 24 = 72
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 72 = 88

The NPI number 1568883908 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

JOHN R BYLEWSKI MD

Internal Medicine

4900 S ARCHER AVE
SUITE 5
CHICAGO, IL
ZIP 60632

(773) 767-5950

DR. GABRIELA BALTIERRES D.D.S.

Dentist

4900 S ARCHER AVE
CHICAGO, IL
ZIP 60632

(773) 582-7200

MOUNT SINAI COMMUNITY FOUNDATION

Internal Medicine

(Cardiovascular Disease)

4900 S ARCHER AVE
STE 1
CHICAGO, IL
ZIP 60632

(773) 767-8375

HEART SPECIALIST, LTD

Internal Medicine

(Interventional Cardiology)

4900 S ARCHER AVE
CHICAGO, IL
ZIP 60632

(773) 767-8375

BALTIERRES DENTAL P.C.

Clinic/Center

(Dental)

4900 S ARCHER AVE
CHICAGO, IL
ZIP 60632

(773) 582-7200

ASHISH MUKHERJEE M.D., F.A.C.C.

Internal Medicine

(Cardiovascular Disease)

4900 S ARCHER AVE
SUITE 1
CHICAGO, IL
ZIP 60632

(773) 767-8375

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568883908, enumerated as an "organization" on January 03, 2014.

The provider is located at 4900 S ARCHER AVE CHICAGO, IL 60632 and the phone number is (773) 767-0100.

Internal Medicine with taxonomy code 207R00000X.