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

Michigan Avenue Primary Care, SC

Organization Family Medicine Physician · NPI 1013239672

Michigan Avenue Primary Care, SC is a Family Medicine Physician in Chicago, Illinois. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2

Practice location Address checks out

180 N Michigan Ave Ste 1605
Chicago, IL 60601-7478
Phone: (312) 201-1234
Fax: (312) 201-1202
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1013239672
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Runke — Medical Director · (312) 201-1234
NPI enumeratedFebruary 24, 2010
Last updated in NPPESJanuary 22, 2013
Mailing address180 N Michigan Ave, Suite 1605, Chicago, IL 60601-7478

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