Active NPI
Barry Sadegi, M.D., S.C.
- Obstetrics & Gynecology Physician
- Downers Grove, IL
National Provider Identifier
1063608974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036046311
- Legal business name
- BARRY SADEGI, M.D., S.C.
- Practice address
- 3825 Highland Ave
3B
Downers Grove, IL 60515-1549 - Phone
- (630) 434-9300
- Fax
- (630) 434-9302
- NPI assigned
- Sep 25, 2007
- 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. Barry Sadegi, M.D.
- Title
- OB-GYN
- Phone
- (630) 434-9300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036046311 | IL | Primary |
Addresses
Primary practice location
3825 Highland Ave
3B
Downers Grove, IL 60515-1549
Mailing address
3825 Highland Ave Ste 3B
Downers Grove, IL 60515-1549
Phone (630) 434-9300
Other practice location 1
20201 S Crawford Ave
Olympia Fields, IL 60461-1549
Phone (708) 679-2160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036046311 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
3825 Highland Ave
Ste 3B
Downers Grove, IL 60515
Phone (630) 434-9300
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Downers Grove, IL
- NPI 1720187438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571011200000",
"number": "1063608974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3825 HIGHLAND AVE STE 3B",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151549",
"telephone_number": "630-434-9300",
"fax_number": "630-434-9302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3825 HIGHLAND AVE",
"address_2": "3B",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151549",
"telephone_number": "630-434-9300",
"fax_number": "630-434-9302"
}
],
"practiceLocations": [
{
"address_1": "20201 S Crawford Ave",
"address_purpose": "LOCATION",
"city": "Olympia Fields",
"state": "IL",
"postal_code": "604611549",
"country_code": "US",
"telephone_number": "708-679-2160",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "BARRY SADEGI, M.D., S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-25",
"last_updated": "2019-10-14",
"status": "A",
"authorized_official_last_name": "SADEGI",
"authorized_official_first_name": "BARRY",
"authorized_official_title_or_position": "OB-GYN",
"authorized_official_telephone_number": "630-434-9300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036046311",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036046311",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.