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

Vmd Primary Providers South Arizona, PLLC

Organization Family Medicine Physician · NPI 1174127062

Vmd Primary Providers South Arizona, PLLC is a Family Medicine Physician in Chicago, Illinois. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
4
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

125 S Clark St Ste 900
Chicago, IL 60603-4043
Phone: (706) 513-4897
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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
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1174127062
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rebecca Rager — Director · (844) 969-0686
NPI enumeratedNovember 23, 2020
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025
Mailing address4650 Westway Park Blvd Ste 206, Houston, TX 77041-2006

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