- Medicare Primary Care in Chicago, IL

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Chicago, Illinois. The current practice location for is 2001 S. California Ave, Suite 100, Chicago, Illinois. For appointments, you can reach them via phone at (773) 584-1635. The mailing address for is 2001 S. California Ave, Suite 100, Chicago, Illinois and phone number is (773) 584-6132.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1124187125. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (773) 584-1635.

Contact Information

2001 S. California Ave
Suite 100
Chicago
IL 60608-2405
(773) 584-1635
(773) 376-8845

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location2001 S. California Ave, Chicago, Illinois
Authorized Official Name and PositionZachary Spreitzer (DIRECTOR OF FINANCE)
Authorized Official Contact7736405785
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

2001 S. California Ave
Suite 100
Chicago
IL 60608-2405

Ph: (773) 584-6132
2001 S. California Ave
Suite 100
Chicago
IL 60608-2405

Ph: (773) 584-1635

NPI Details:

NPI Number1124187125
Provider Enumeration Date12/06/2006
Last Update Date08/02/2023

Medicare PECOS Information:

Medicare PECOS PAC ID2961453105
Medicare Enrollment IDO20050204000750

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124187125NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameSandra Lee Mulcrone
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1952317786
PECOS PAC ID: 3274432265
Enrollment ID: I20040108000415
Provider NameYesenia Yepez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063459956
PECOS PAC ID: 2365335874
Enrollment ID: I20040206000478
Provider NameJuan Campbell
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1205940582
PECOS PAC ID: 7719947332
Enrollment ID: I20041018000429
Provider NameSteven Rothschild
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184716623
PECOS PAC ID: 8628971389
Enrollment ID: I20041109000221
Provider NameShaista Y Kamal
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1215023916
PECOS PAC ID: 2466451703
Enrollment ID: I20061213000580
Provider NameEstella F Martinez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326173618
PECOS PAC ID: 4587767678
Enrollment ID: I20070309000420
Provider NameHugo A Solari
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1083815435
PECOS PAC ID: 0547354680
Enrollment ID: I20070919000826
Provider NameDeborah L Edberg
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194758722
PECOS PAC ID: 8527152628
Enrollment ID: I20070920000270
Provider NameLinda Simon-price
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1659484871
PECOS PAC ID: 7214003300
Enrollment ID: I20080915000404
Provider NameOscar Diaz
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1174618383
PECOS PAC ID: 0749338952
Enrollment ID: I20090428000119
Provider NameVirginia M Schmidt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1881894541
PECOS PAC ID: 2860678638
Enrollment ID: I20110511000512
Provider NameFran Bender
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558449942
PECOS PAC ID: 5799933495
Enrollment ID: I20120921000725
Provider NameSylvia Shokunbi
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1780905869
PECOS PAC ID: 0244465730
Enrollment ID: I20131111000077
Provider NameMaximiliano Luna
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1003132002
PECOS PAC ID: 2860628567
Enrollment ID: I20131203000758
Provider NameMarcella I Cimino
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265573117
PECOS PAC ID: 5193951770
Enrollment ID: I20131204001780
Provider NameCharlene M Sanders
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1992893218
PECOS PAC ID: 9032342241
Enrollment ID: I20140423001718
Provider NameSarah Hoque
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1013238310
PECOS PAC ID: 7315164910
Enrollment ID: I20140805001829
Provider NameMark D Minier
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1629156559
PECOS PAC ID: 7214963222
Enrollment ID: I20150310000620
Provider NameClaudia A Whitaker Carr
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528383197
PECOS PAC ID: 1456672112
Enrollment ID: I20150605001620
Provider NameAiden Michael Nicholson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366849325
PECOS PAC ID: 5294054250
Enrollment ID: I20151008000150
Provider NameJimena Beatriz Alvarez Soto
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1679817365
PECOS PAC ID: 8325357510
Enrollment ID: I20170308001830
Provider NameCarol Kindleberger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1457806861
PECOS PAC ID: 5395014997
Enrollment ID: I20170712002952
Provider NameThomas Kim
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1407083488
PECOS PAC ID: 3971759838
Enrollment ID: I20170916000038
Provider NameAxa Maria Yosmar Anaya Noubleau
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1932518750
PECOS PAC ID: 9931403961
Enrollment ID: I20171005000537
Provider NameKristina Nichole Pontarelli
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1285977314
PECOS PAC ID: 4385953579
Enrollment ID: I20180406000024
Provider NameAnna Nguyen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1245619667
PECOS PAC ID: 7719235639
Enrollment ID: I20180808002104
Provider NameEmma Kathryn Worringer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154734853
PECOS PAC ID: 8729208574
Enrollment ID: I20181025001528
Provider NameJasmine Saavedra
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1467847384
PECOS PAC ID: 4284934415
Enrollment ID: I20181206001402
Provider NameRebecca F Lara
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1184945206
PECOS PAC ID: 2961638887
Enrollment ID: I20190502001098
Provider NameSabrina Coffey
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1982167144
PECOS PAC ID: 7911234703
Enrollment ID: I20190816002271
Provider NameStefan Czestochowski
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1700230034
PECOS PAC ID: 6305132887
Enrollment ID: I20190820001916
Provider NameAlicia E Idler-perez
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1770838641
PECOS PAC ID: 7517194418
Enrollment ID: I20190823000999
Provider NameAna Maria Mendoza
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1730747999
PECOS PAC ID: 3375871692
Enrollment ID: I20190826000336
Provider NameTiffany A Hilliard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386190783
PECOS PAC ID: 0648697409
Enrollment ID: I20200826000208
Provider NameElizabeth Harari
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1275911067
PECOS PAC ID: 0941558811
Enrollment ID: I20200915000128
Provider NameMichele Sullivan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134677842
PECOS PAC ID: 3971856964
Enrollment ID: I20201012000558
Provider NameElizabeth Casabal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861912636
PECOS PAC ID: 4082028246
Enrollment ID: I20210128002843
Provider NameDemetrius Marcoulides
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952887093
PECOS PAC ID: 5991139065
Enrollment ID: I20210419002153
Provider NameCielo Velandia Kellner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770192080
PECOS PAC ID: 6608284088
Enrollment ID: I20210423001744
Provider NameKaren Johnanna Escobar Almeida
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1144684598
PECOS PAC ID: 7618215724
Enrollment ID: I20210426002680
Provider NameSandra Labastida
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1023615994
PECOS PAC ID: 7214346931
Enrollment ID: I20210511000382
Provider NameMarialuisa Doubek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841735222
PECOS PAC ID: 7911306659
Enrollment ID: I20210528001142
Provider NameJulio Diosman Pernia-cuberos
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679067672
PECOS PAC ID: 2264836691
Enrollment ID: I20210809000121
Provider NameCynthia Lucio
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912517236
PECOS PAC ID: 6507260882
Enrollment ID: I20210809002463
Provider NameYesenia Raithel Vargas
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1477061620
PECOS PAC ID: 4880082338
Enrollment ID: I20211102002452
Provider NameBecky Denise Serna
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699440891
PECOS PAC ID: 0941690390
Enrollment ID: I20211130000030
Provider NameLaura Campa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093366734
PECOS PAC ID: 5496146961
Enrollment ID: I20211217001388
Provider NameRoberto George
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1528602646
PECOS PAC ID: 7214328459
Enrollment ID: I20211227000507
Provider NameGuadalupe Quintana-salgado
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992389928
PECOS PAC ID: 2769877661
Enrollment ID: I20220310002838
Provider NameJodi M Roque
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346478526
PECOS PAC ID: 8022265768
Enrollment ID: I20220315001300
Provider NameMonica D Eghbali
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1306510482
PECOS PAC ID: 4385021179
Enrollment ID: I20220517001399
Provider NameMichael Cacoilo
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1487186078
PECOS PAC ID: 7315217908
Enrollment ID: I20220714002502
Provider NameJennifer Calderon
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1740893486
PECOS PAC ID: 0244613131
Enrollment ID: I20220809003942
Provider NameSara Jean Twiehaus
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1285128926
PECOS PAC ID: 8426307612
Enrollment ID: I20220825001474
Provider NameAna Laura Saavedra
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417551276
PECOS PAC ID: 7214312651
Enrollment ID: I20220921000458
Provider NameMiglena Garkova
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447978887
PECOS PAC ID: 4082090329
Enrollment ID: I20221010002814
Provider NameLiliana Gilberto
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922724145
PECOS PAC ID: 8527431923
Enrollment ID: I20230306002645
Provider NameMaria Fernanda Perdomo Meza
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376101154
PECOS PAC ID: 0941673024
Enrollment ID: I20230310002415
Provider NameJessenia Briseno
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1407560204
PECOS PAC ID: 1153796610
Enrollment ID: I20230414000714
Provider NameElizabeth Ramirez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1154812931
PECOS PAC ID: 1254733363
Enrollment ID: I20230616001305
Provider NameBrandy Burgos
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1306472246
PECOS PAC ID: 8729447149
Enrollment ID: I20230703002324
Provider NameMaria Laura Casalegno
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1578067815
PECOS PAC ID: 9931457363
Enrollment ID: I20230713001684
Provider NameRosa Angelica De La Torre
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1689294951
PECOS PAC ID: 4587074810
Enrollment ID: I20231108001831
Provider NameSydney Doe
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659826675
PECOS PAC ID: 8022431386
Enrollment ID: I20231108002213
Provider NameNicolas Zuniga Penaranda
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1033731914
PECOS PAC ID: 8224487046
Enrollment ID: I20231205003366
Provider NameEsther Murillo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972386464
PECOS PAC ID: 2769831114
Enrollment ID: I20231211000626
Provider NameEsmeralda Rosales
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194372557
PECOS PAC ID: 8628427507
Enrollment ID: I20231218003440
Provider NameMarieli Guzman
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1821556341
PECOS PAC ID: 5597115196
Enrollment ID: I20231222000562
Provider NameCler Vicentina Aquillas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518587302
PECOS PAC ID: 1658763701
Enrollment ID: I20231228000613
Provider NameDaniela Rivera
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1992576367
PECOS PAC ID: 8628411261
Enrollment ID: I20240209003333
Provider NameYesenia Valdivia
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225657497
PECOS PAC ID: 1658787841
Enrollment ID: I20240226000202
Provider NameMarisol Bucio
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1265920946
PECOS PAC ID: 2062857402
Enrollment ID: I20240226002083
Provider NameFabiola Ochoa
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1245975267
PECOS PAC ID: 1850736463
Enrollment ID: I20240305001050
Provider NameChantal Pico
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1609346410
PECOS PAC ID: 5597101626
Enrollment ID: I20240312002496
Provider NameClaudia Arteaga
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407623796
PECOS PAC ID: 7810333721
Enrollment ID: I20240314001246
Provider NameBianca R Arellano
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1275291015
PECOS PAC ID: 7315383130
Enrollment ID: I20240314001910
Provider NameApril Hall
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1326573957
PECOS PAC ID: 6800233552
Enrollment ID: I20240318002429
Provider NameTania E Nunez
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1790231538
PECOS PAC ID: 2567800931
Enrollment ID: I20240404000180
Provider NameAlejandra Cardenas
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1780202457
PECOS PAC ID: 6901244334
Enrollment ID: I20240404002462
Provider NameMaria Luisa De Los Santos
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1013425040
PECOS PAC ID: 7517306285
Enrollment ID: I20240414000086
Provider NameYessenia Semira Cornejo
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1972679462
PECOS PAC ID: 4284073966
Enrollment ID: I20240415000592
Provider NameAimee Noheli Rodriguez
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1922756931
PECOS PAC ID: 3577902204
Enrollment ID: I20240415002047
Provider NameKarishma Dansingani
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1619636008
PECOS PAC ID: 8224477732
Enrollment ID: I20240417000861
Provider NameBailey Marie Jenkins
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174306484
PECOS PAC ID: 8123460011
Enrollment ID: I20240523001451
Provider NameInes Daniel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1194598540
PECOS PAC ID: 7517309123
Enrollment ID: I20240529000529
Provider NameLizette Lagunas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467146233
PECOS PAC ID: 4587106083
Enrollment ID: I20240612002216
Provider NameDiana Ramirez
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1063174282
PECOS PAC ID: 7810381365
Enrollment ID: I20240614002105
Provider NameJose Zavala
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1205571171
PECOS PAC ID: 8921541624
Enrollment ID: I20240624000059
Provider NameMauricio Rodriguez Naime
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1710769021
PECOS PAC ID: 8729522735
Enrollment ID: I20240702000569
Provider NameAllison Frances Rustin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952908212
PECOS PAC ID: 2062958226
Enrollment ID: I20240724000465
Provider NameJoanna Trask
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1578120770
PECOS PAC ID: 2365882362
Enrollment ID: I20240814000706
Provider NameStacey Jaimes-herrera
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1225617764
PECOS PAC ID: 4981142585
Enrollment ID: I20240814001722
Provider NameJavier Martinez
Provider TypePractitioner - Mental Health Counselor
Provider IdentifiersNPI Number: 1447995816
PECOS PAC ID: 1759826936
Enrollment ID: I20240914000566
Provider NameRebecca Clare Wornhoff
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114581584
PECOS PAC ID: 5991194276
Enrollment ID: I20240914000680
Provider NameNatascha Cirignani
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1750903357
PECOS PAC ID: 6305387028
Enrollment ID: I20240923000427

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.