Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Jefferson Park Medical Group, PC

Organization Family Medicine Physician · NPI 1366490047

Jefferson Park Medical Group, PC provides Family Medicine Physician services in Chicago, Illinois. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

5906 N Milwaukee Ave
Chicago, IL 60646-5420
Phone: (773) 774-7300
Fax: (773) 774-7313
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1366490047
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Ansfield — Director · (773) 774-7300
NPI enumeratedMay 4, 2006
Last updated in NPPESAugust 22, 2020
Mailing address5906 N Milwaukee Ave, Chicago, IL 60646-5420

Other providers in Chicago