Organization Active NPI

Kiran P Amin MDSC

  • Surgery Physician
  • Chicago, IL
National Provider Identifier
1073700035
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
KIRAN P AMIN MDSC
Practice address
4211 N Cicero Ave
Suite 201
Chicago, IL 60641-1651
Phone
(773) 481-1001
Fax
(773) 481-0904
NPI assigned
Oct 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
Kiran P. Amin, MD
Title
President
Phone
(774) 481-1001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X IL Primary

Addresses

Primary practice location

4211 N Cicero Ave
Suite 201
Chicago, IL 60641-1651

Mailing address

4211 N Cicero Ave Ste 201
Chicago, IL 60641-1650
Phone (773) 481-1001

National Provider Directory

National Provider Directory

Locations

4211 N Cicero Ave
Ste 201
Chicago, IL 60641
Phone (443) 481-1001

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1073700035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 N CICERO AVE STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411650",
            "telephone_number": "773-481-1001",
            "fax_number": "773-481-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 N CICERO AVE",
            "address_2": "SUITE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606411651",
            "telephone_number": "773-481-1001",
            "fax_number": "773-481-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRAN P AMIN MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-03",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "KIRAN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "774-481-1001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "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 Feb 27, 2008; 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.