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SOUTHTOWN MEDICAL CENTER, LLC
NPI 1629022058
Family Medicine in Chicago, IL

Active since May 20, 2006
6342 S PULASKI RD, CHICAGO, IL 60629(773) 284-8601 Get Directions Write a Review

NPPES record last updated: May 2, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southtown Medical Center, Llc NPPES

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

SOUTHTOWN MEDICAL CENTER, LLC (NPI 1629022058) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since May 2006. The organization lists Venkata A Vallury, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629022058
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTHTOWN MEDICAL CENTER, LLC
Location Address6342 S PULASKI RDChicago, IL 60629-4706
Mailing Address6342 S Pulaski RdChicago, IL 60629-4706 · (773) 284-8601
Phone(773) 284-8601
Organization SubpartNo
Authorized OfficialVenkata A ValluryCeo · (773) 284-8601
Enumeration DateMay 20, 2006
Last NPPES UpdateMay 2, 2008
✔ NPI 1629022058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedPediatricsTaxonomy 208000000X
Also ListedGeneral PracticeTaxonomy 208D00000X
6342 S PULASKI RD, Chicago, IL 60629
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Other Identifiers 8

Other1356346241IL · Medicare Npi
Medicaid036069911IL
Other1634276IL · Bcbs
Medicare UPINH08142IL
Medicare ID-Type Unspecified208760IL
Other1174528061IL · Medicare Npi
Medicare UPIND16291IL
Medicaid036101348IL

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 2

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

SMAIN SADOK, M.D., S.C.
Family Medicine
6342 S PULASKI RD, SUITE 1
CHICAGO, IL 60629
Cook County (773) 284-8601
SMAIN SADOK M.D., S.C.
Family Medicine
6342 S PULASKI RD
CHICAGO, IL 60629
Cook County (312) 731-2184

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 Southtown Medical Center, LLC's NPI number?

The NPI number for Southtown Medical Center, LLC is 1629022058. It was assigned to this organization in the NPPES registry on May 20, 2006.

Where is Southtown Medical Center, LLC located?

Southtown Medical Center, LLC is located at 6342 S Pulaski Rd, Chicago, IL 60629. The listed phone number is (773) 284-8601.

What is Southtown Medical Center, LLC'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 Southtown Medical Center, LLC was last updated on May 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.