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VIRU SC
NPI 1922294503
Family Medicine in Chicago, IL

Active since September 18, 2007
2412 W FULLERTON AVE, CHICAGO, IL 60647(773) 423-6178(773) 451-8285 Get Directions Write a Review

NPPES record last updated: July 13, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Viru Sc NPPES

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

VIRU SC (NPI 1922294503) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since September 2007. The organization lists Jacqueline Olivo, President, as its authorized official.

NPPES Registry Identity

NPI1922294503
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVIRU SC
Location Address2412 W FULLERTON AVEChicago, IL 60647-3155
Mailing Address2412 W Fullerton AveChicago, IL 60647-3155 · (773) 423-6178 · Fax (773) 451-8285
Phone(773) 423-6178
Fax(773) 451-8285
Organization SubpartNo
Authorized OfficialJacqueline OlivoPresident · (773) 716-7281
Enumeration DateSeptember 18, 2007
Last NPPES UpdateJuly 13, 2021
NPPES CertifiedJuly 13, 2021
✔ NPI 1922294503 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 · 036-115930
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.
2412 W FULLERTON AVE, Chicago, IL 60647
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Viru Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Viru Sc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jacqueline Olivo, MD
Family Practice
NPI 1295767366
2412 W FULLERTON AVE
Chicago, IL 60647
(773) 384-7977
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Viru Sc's NPI number?

The NPI number for Viru Sc is 1922294503. It was assigned to this organization in the NPPES registry on September 18, 2007.

Where is Viru Sc located?

Viru Sc is located at 2412 W Fullerton Ave, Chicago, IL 60647. The listed phone number is (773) 423-6178.

What is Viru Sc's specialty?

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

Is Viru Sc enrolled in Medicare?

Yes. Viru Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Viru Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Viru Sc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Viru Sc was last updated on July 13, 2021. 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.