Active NPI
Striedinger Medical Group SC
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1023197332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036090741
- Legal business name
- STRIEDINGER MEDICAL GROUP SC
- Practice address
- 4733 N Damen Ave
Chicago, IL 60625-1442 - Phone
- (773) 878-4700
- NPI assigned
- Nov 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fernando M Striedinger, MD
- Title
- Internal Medicine
- Phone
- (773) 878-4700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036090741 | IL | Primary |
Addresses
Primary practice location
4733 N Damen Ave
Chicago, IL 60625-1442
Mailing address
4733 N Damen
Chicago, IL 60625-1334
Phone (773) 878-4700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036090741 | Medicaid | IL | |
| 4932289 | Other | IL | BCBS PROVIDER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2085061 | Striedinger Medical Group SC | Certificate of waiver | Oct 6, 2026 |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/8541/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1851483119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428537600000",
"number": "1023197332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4733 N DAMEN",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606251334",
"telephone_number": "773-878-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4733 N DAMEN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606251442",
"telephone_number": "773-878-4700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRIEDINGER MEDICAL GROUP SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-06",
"last_updated": "2015-04-09",
"status": "A",
"authorized_official_last_name": "STRIEDINGER",
"authorized_official_first_name": "FERNANDO",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "INTERNAL MEDICINE",
"authorized_official_telephone_number": "773-878-4700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": "036090741",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036090741",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER",
"identifier": "4932289",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.