ROOSEVELT ROAD CLINIC MD SC
NPI 1952765232
Internal Medicine in Chicago, IL

Q: What is Roosevelt Road Clinic MD Sc's NPI number?

The NPI number for Roosevelt Road Clinic MD Sc is 1952765232. It was assigned to this organization in the NPPES registry on April 12, 2016.

Q: What is Roosevelt Road Clinic MD Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since April 12, 2016

3600 W ROOSEVELT RD, CHICAGO, IL 60624(773) 638-6761(773) 638-6984 Get Directions Write a Review

NPPES record last updated: April 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Roosevelt Road Clinic Md Sc NPPES

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

ROOSEVELT ROAD CLINIC MD SC (NPI 1952765232) is a healthcare organization registered as an internal medicine in Chicago, Illinois and active in the NPI registry since April 2016. The organization lists Subarna P Pradhan, President, as its authorized official.

NPPES Registry Identity

NPI1952765232

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameROOSEVELT ROAD CLINIC MD SC

Location Address3600 W ROOSEVELT RDChicago, IL 60624-4225

Mailing Address3600 W Roosevelt RdChicago, IL 60624-4225 · (773) 638-6761 · Fax (773) 638-6984

Phone(773) 638-6761

Fax(773) 638-6984

Organization SubpartNo

Authorized OfficialSubarna P PradhanPresident · (773) 638-6761

Enumeration DateApril 12, 2016

✔ NPI 1952765232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 036056560

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3600 W ROOSEVELT RD, Chicago, IL 60624

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Other Identifiers 3

Other636231IL · Medicare Ptan

Medicaid036056560IL

Medicare UPIND93398IL

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

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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