Organization Active NPI

IV Doctor PC

  • General Practice Physician
  • Chicago, IL
National Provider Identifier
1063121887
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
IV DOCTOR PC
Practice address
564 W Randolph St Ste 233
Chicago, IL 60661-2218
Phone
(844) 843-4836
NPI assigned
Nov 21, 2022
Last updated
Nov 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Authorized official

Name
Dr. Adam Nadelson
Title
Ceo
Phone
(844) 843-4836

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Home Health Agency 251E00000X
Home Infusion Agency 251F00000X

Addresses

Primary practice location

564 W Randolph St Ste 233
Chicago, IL 60661-2218

Mailing address

53 W 36TH St RM 204
New York, NY 10018-7624
Phone (844) 843-4836

National Provider Directory

National Provider Directory

Locations

564 W Randolph St
Ste 233
Chicago, IL 60661
Phone (844) 843-4836

NPI Registry JSON

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1063121887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 W 36TH ST RM 204",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100187624",
            "telephone_number": "844-843-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 W RANDOLPH ST STE 233",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606612218",
            "telephone_number": "844-843-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IV DOCTOR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "NADELSON",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "844-843-4836",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Nov 21, 2022; 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.