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JACKSON PARK MEDICAL ASSOCIATES
NPI 1851504161
Family Medicine in Chicago, IL

Active since May 07, 2007CLIA 14D2060833 · Waiver
7531 SO STONY ISLAND, ST 176, CHICAGO, IL 60649(773) 947-7746(773) 947-7751 Get Directions Write a Review

NPPES record last updated: March 11, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Park Medical Associates NPPES

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

JACKSON PARK MEDICAL ASSOCIATES (NPI 1851504161) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through November 1, 2027 and lists Michael T Foreman, President, as its authorized official.

NPPES Registry Identity

NPI1851504161
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameASSOCIATED MEDICAL CENTERS SC
Location Address7531 SO STONY ISLAND, ST 176Chicago, IL 60649
Mailing Address7531 So Stony Island, St 176Chicago, IL 60649 · (773) 947-7746 · Fax (773) 947-7751
Phone(773) 947-7746
Fax(773) 947-7751
Organization SubpartNo
Authorized OfficialMichael T ForemanPresident · (773) 947-7746
Enumeration DateMay 7, 2007
Last NPPES UpdateMarch 11, 2011
✔ NPI 1851504161 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 · 042004703
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.
7531 SO STONY ISLAND, Chicago, IL 60649
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Other Names 1

Doing Business AsJackson Park Medical Associates

Other Identifiers 1

Other01630237IL · Bcbs

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

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 14D2060833

Jackson Park Medical Center · Chicago, IL
Active · expires Nov 1, 2027
CLIA Number14D2060833
Laboratory TypePhysician Office
Certificate Effective DateNovember 2, 2025
Certificate Expiration DateNovember 1, 2027
Laboratory DirectorMichael T. Foreman
Laboratory Phone(773) 947-7746
Laboratory LocationJackson Park Medical Center7531 S Stony Island - Ste 176, Chicago, IL 60649
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

MILTON DAUGHERTY MD
Psychiatry & Neurology (Psychiatry)
7531 SO STONY ISLAND
CHICAGO, IL 60649
Cook County (773) 947-7900
MICHAEL TRENT FOREMAN MD
Family Medicine
7531 SO STONY ISLAND, ST 176
CHICAGO, IL 60649
Cook County (773) 947-7746

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 1851504161. It was assigned to this organization in the NPPES registry on May 7, 2007. The provider is doing business as Jackson Park Medical Associates.

Where is Associated Medical Centers Sc located?

Associated Medical Centers Sc is located at 7531 So Stony Island St 176, Chicago, IL 60649. The listed phone number is (773) 947-7746.

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 14D2060833) is associated with this NPI, valid through November 1, 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 March 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.