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OTERO MEDICAL CENTER, S.C.
NPI 1639306640
Family Medicine in Chicago, IL

Active since June 17, 2009
4911 W FULLERTON AVE, CHICAGO, IL 60639(773) 772-4900(773) 772-0298 Get Directions Write a Review

NPPES record last updated: August 8, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Otero Medical Center, S.c. NPPES

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

OTERO MEDICAL CENTER, S.C. (NPI 1639306640) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since June 2009. The organization lists William E Otero, President, as its authorized official.

NPPES Registry Identity

NPI1639306640
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOTERO MEDICAL CENTER, S.C.
Location Address4911 W FULLERTON AVEChicago, IL 60639-2505
Mailing Address4911 W Fullerton AveChicago, IL 60639-2505 · (773) 772-4900 · Fax (773) 772-0298
Phone(773) 772-4900
Fax(773) 772-0298
Organization SubpartNo
Authorized OfficialWilliam E OteroPresident · (773) 772-4900
Enumeration DateJune 17, 2009
Last NPPES UpdateAugust 8, 2013
✔ NPI 1639306640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036102552
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.
4911 W FULLERTON AVE, Chicago, IL 60639
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Other Identifiers 5

Other1588776884IL · Npi Individual Number
Medicare UPING41050IL
Medicare PIN591270IL
Other01626950IL · Blue Cross Blue Shield Of Illinois
Medicaid036102552IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Otero Medical Center, S.C.'s NPI number?

The NPI number for Otero Medical Center, S.C. is 1639306640. It was assigned to this organization in the NPPES registry on June 17, 2009.

Where is Otero Medical Center, S.C. located?

Otero Medical Center, S.C. is located at 4911 W Fullerton Ave, Chicago, IL 60639. The listed phone number is (773) 772-4900.

What is Otero Medical Center, S.C.'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 Otero Medical Center, S.C. was last updated on August 8, 2013. 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.