JEFFERSON PARK MEDICAL CENTER, LTD.
NPI 1952577926
Clinic/Center - Medical Specialty in Chicago, IL

Active since April 30, 2008
4955 N MILWAUKEE AVE STE 4, CHICAGO, IL 60630(773) 736-3770(773) 736-1403 Get Directions Write a Review

NPPES record last updated: April 30, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jefferson Park Medical Center, Ltd. NPPES

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

JEFFERSON PARK MEDICAL CENTER, LTD. (NPI 1952577926) is a healthcare organization registered as a medical specialty in Chicago, Illinois and active in the NPI registry since April 2008. The organization lists Milroy Emmanuel, Incorporator, as its authorized official.

NPPES Registry Identity

NPI1952577926
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameJEFFERSON PARK MEDICAL CENTER, LTD.
Location Address4955 N MILWAUKEE AVE STE 4Chicago, IL 60630-2175
Mailing Address4955 N Milwaukee Ave Ste 4Chicago, IL 60630-2175 · (773) 736-3770 · Fax (773) 736-1403
Fax(773) 736-1403
Organization SubpartNo
Authorized OfficialMilroy EmmanuelIncorporator · (773) 736-3770
Enumeration DateApril 30, 2008
NPI 1952577926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in IL · 042.619228
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
4955 N MILWAUKEE AVE STE 4, Chicago, IL 60630

Other Identifiers 1

Medicare UPINC42461IL

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 Jefferson Park Medical Center, Ltd.'s NPI number?

The NPI number for Jefferson Park Medical Center, Ltd. is 1952577926. It was assigned to this organization in the NPPES registry on April 30, 2008.

Where is Jefferson Park Medical Center, Ltd. located?

Jefferson Park Medical Center, Ltd. is located at 4955 N Milwaukee Ave Ste 4, Chicago, IL 60630. The listed phone number is (773) 736-3770.

What is Jefferson Park Medical Center, Ltd.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Jefferson Park Medical Center, Ltd. was last updated on April 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.