Perry Rudich MD SC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

036037986 Issued in IL

Legal business name

PERRY RUDICH MD SC

Practice address

2600 Bob O Link LN
Northbrook, IL 60062-5914

Phone

(847) 498-1780

NPI assigned

Oct 2, 2007

Organization subpart

No

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

Authorized official

Name

Perry Rudich, MD

Title

Owner

Phone

(847) 498-1780

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1073700209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 BOB O LINK LN",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 BOB O LINK LN",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625914",
            "telephone_number": "847-498-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY RUDICH MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "RUDICH",
        "authorized_official_first_name": "PERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-498-1780",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036037986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0031600044",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Guadalupe Perez
• Paula Perez, RBT-19-75559
• Rajkumar Periasamy
• Sarah Noel Perks
• Marina Perri
• Selena B Peters, MD
• Aaron Petersen, MSW
• Emma Jean Peterson, RBT- 721905
• Kelie Peterson
• Vladimir Petreski

• Diagnostic Radiology Physician in Northbrook, IL
• Providers in Northbrook, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.