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BEVERLY PARK MEDICAL CENTER
NPI 1669695730
Family Medicine in Chicago, IL

Active since April 10, 2007CLIA 14D2060831 · Waiver
10543 SO WESTERN, ST 102, CHICAGO, IL 60643(773) 298-0990(773) 445-1364 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Beverly Park Medical Center NPPES

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

BEVERLY PARK MEDICAL CENTER (NPI 1669695730) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through June 18, 2027 and lists Michael T Foreman, President, as its authorized official.

NPPES Registry Identity

NPI1669695730
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameASSOCIATED MEDICAL CENTERS SC
Location Address10543 SO WESTERN, ST 102Chicago, IL 60643
Mailing Address10543 So Western, St 102Chicago, IL 60643 · (773) 298-0990 · Fax (773) 445-1364
Phone(773) 298-0990
Fax(773) 445-1364
Organization SubpartNo
Authorized OfficialMichael T ForemanPresident · (773) 947-7746
Enumeration DateApril 10, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1669695730 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.
10543 SO WESTERN, Chicago, IL 60643
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Other Names 1

Doing Business AsBeverly Park Medical Center

Other Identifiers 1

Other01630236IL · Bcbs

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2060831

Beverly Park Medical Center · Chicago, IL
Active · expires Jun 18, 2027
CLIA Number14D2060831
Laboratory TypePhysician Office
Certificate Effective DateJune 19, 2025
Certificate Expiration DateJune 18, 2027
Laboratory DirectorMichael Foreman
Laboratory Phone(773) 298-0990
Laboratory LocationBeverly Park Medical Center11012 S Western Ave, Chicago, IL 60643
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Associated Medical Centers Sc's NPI number?

The NPI number for Associated Medical Centers Sc is 1669695730. It was assigned to this organization in the NPPES registry on April 10, 2007. The provider is doing business as Beverly Park Medical Center.

Where is Associated Medical Centers Sc located?

Associated Medical Centers Sc is located at 10543 So Western St 102, Chicago, IL 60643. The listed phone number is (773) 298-0990.

What is Associated Medical Centers Sc's specialty?

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

Does Associated Medical Centers Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2060831) is associated with this NPI, valid through June 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Associated Medical Centers Sc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.