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CHMG - EDGEWATER
NPI 1912470105
Family Medicine in Chicago, IL

Active since January 10, 2019
6201 NORTH BROADWAY, CHICAGO, IL 60660(844) 533-2464 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 13, 2023, Jan 10, 2019 (2 updates tracked since 2019).

About Chmg - Edgewater NPPES

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

CHMG - EDGEWATER (NPI 1912470105), doing business as Chicago Health Medical Group, is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since January 2019. The organization lists Manoj Prasad, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912470105
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRESILIENCE HEALTHCARE- LAKEFRONT MEDICAL ASSOCIATES, LLC
Location Address6201 NORTH BROADWAYChicago, IL 60660
Mailing Address4646 N Marine DrChicago, IL 60640-5759
Phone(844) 533-2464
Organization SubpartNo
Authorized OfficialManoj PrasadCeo · (708) 763-6700
Enumeration DateJanuary 10, 2019
Last NPPES UpdateJanuary 13, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2023
✔ NPI 1912470105 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.
6201 NORTH BROADWAY, Chicago, IL 60660
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Other Names 2

Other NameChmg - Edgewater
Doing Business AsChicago Health Medical Group

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 Resilience Healthcare- Lakefront Medical Associates, LLC's NPI number?

The NPI number for Resilience Healthcare- Lakefront Medical Associates, LLC is 1912470105. It was assigned to this organization in the NPPES registry on January 10, 2019. The provider is doing business as Chicago Health Medical Group. The provider is also known as Chmg - Edgewater.

Where is Resilience Healthcare- Lakefront Medical Associates, LLC located?

Resilience Healthcare- Lakefront Medical Associates, LLC is located at 6201 North Broadway, Chicago, IL 60660. The listed phone number is (844) 533-2464.

What is Resilience Healthcare- Lakefront Medical Associates, 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 Resilience Healthcare- Lakefront Medical Associates, LLC was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.