OrganizationActive
Michigan Ave Medical Associates LLC
NPI 1366741456 · Primary Care Clinic/Center · Chicago, IL
Provider details
- NPI number
- 1366741456
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Roberto Diaz, Sole Member(312) 521-5510
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
845 N Michigan Ave Ste 930e
Chicago, IL 60611-2213
Phone: (312) 202-0700
Street-level locationGet directions
Mailing address
845 N Michigan Ave Ste 910w
Chicago, IL 60611-2252
Registry dates
- Enumerated
- 2011-03-15
- Last updated
- 2011-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.