Organization Active NPI

Donald L Chatman MD LTD

  • Specialist
  • Chicago, IL
National Provider Identifier
1053573840
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036039217 Issued in IL
Legal business name
DONALD L CHATMAN MD LTD
Practice address
111 N Wabash Avenue
Suite 1210
Chicago, IL 60602-3092
Phone
(312) 220-9255
Fax
(312) 220-9245
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Donald Leverett Chatman, MD
Title
OB Gyne
Phone
(312) 220-9255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 036039217 IL Primary

Addresses

Primary practice location

111 N Wabash Avenue
Suite 1210
Chicago, IL 60602-3092

Mailing address

111 N Wabash Avenue
Suite 1210
Chicago, IL 60602-3092
Phone (312) 220-9255

Other identifiers 1

IdentifierTypeStateIssuer
036039217MedicaidIL

National Provider Directory

National Provider Directory

Locations

111 N Wabash Ave
Ste 1210
Chicago, IL 60602
Phone (312) 220-9255

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1053573840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVENUE",
            "address_2": "SUITE 1210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023092",
            "telephone_number": "312-220-9255",
            "fax_number": "312-220-9245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVENUE",
            "address_2": "SUITE 1210",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023092",
            "telephone_number": "312-220-9255",
            "fax_number": "312-220-9245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD L CHATMAN MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "CHATMAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "LEVERETT",
        "authorized_official_title_or_position": "OB GYNE",
        "authorized_official_telephone_number": "312-220-9255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036039217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036039217",
            "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 Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.