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

Macentee Knox & Vargas Mds

Organization Preferred Provider Organization · NPI 1275729303

Macentee Knox & Vargas Mds is a Preferred Provider Organization in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
3
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Practice location Address checks out

10627 S Pulaski Rd
Chicago, IL 60655-3827
Phone: (773) 779-9300
Fax: (773) 779-5768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X · Licence 036072512 (IL)
Preferred Provider Organization Taxonomy 305R00000X · Licence 036047977 (IL)
Point of Service Taxonomy 305S00000X · Licence 036063080 (IL)

Record details

NPI number1275729303
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Macentee — President · (773) 779-9300
Other names Southcare Family Practice
NPI enumeratedSeptember 21, 2007
Last updated in NPPESMarch 8, 2011
Mailing address10627 S Pulaski Rd, Chicago, IL 60655-3827

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