Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chicagoland Physician Consortium, LLC

Organization Family Medicine Physician · NPI 1720537384

Chicagoland Physician Consortium, LLC is a Family Medicine Physician in Chicago, Illinois. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3510 W 79th St
Chicago, IL 60652-1430
Phone: (773) 459-9661
Fax: (312) 631-2892
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1720537384
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rudyard Smith — Medical Director · (773) 459-9661
NPI enumeratedSeptember 23, 2016
Last updated in NPPESSeptember 7, 2017
Mailing address3510 W 79th St, Chicago, IL 60652-1430

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