Mpac Phc of Il PC
NPI 1396402129 · Nurse Practitioner · Chicago, IL
Mpac Phc of Il PC is a Nurse Practitioner organization in Chicago, IL (NPI 1396402129).
Provider details
- NPI number
- 1396402129
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Timothy Martinez, Ceo(888) 660-4425
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Registry dates
- Enumerated
- 2021-11-29
- Last updated
- 2021-12-10
- Certified
- 2021-12-10
Frequently asked questions
- What is Mpac Phc of Il PC's NPI number?
- Mpac Phc of Il PC's National Provider Identifier (NPI) is 1396402129, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mpac Phc of Il PC?
- Mpac Phc of Il PC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mpac Phc of Il PC located?
- Mpac Phc of Il PC's practice location on file with NPPES is 200 N La Salle St Ste 1550, Chicago, IL 60601-1034.
- What is Mpac Phc of Il PC's phone number?
- The practice phone number listed in the NPPES registry for Mpac Phc of Il PC is (888) 705-8722.
- Who is the authorized official for Mpac Phc of Il PC?
- The authorized official listed on Mpac Phc of Il PC's NPPES record is Timothy Martinez, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mpac Phc of Il PC's NPI active?
- Yes — Mpac Phc of Il PC's NPI (1396402129) is active in the NPPES registry as of the last update on 2021-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.