Todd S. Kirk, MDSC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036068842 Issued in IL

Legal business name

TODD S. KIRK, MDSC

Practice address

13303 S Ridgeland Ave
Suite B
Palos Heights, IL 60463-1815

Phone

(708) 857-7990

Fax

(708) 857-7998

NPI assigned

Jan 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Todd S Kirk, M.D.

Title

Physician

Phone

(708) 857-7990

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1083891600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13303 S RIDGELAND AVE",
            "address_2": "SUITE B",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631815",
            "telephone_number": "708-857-7990",
            "fax_number": "708-857-7998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13303 S RIDGELAND AVE",
            "address_2": "SUITE B",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631815",
            "telephone_number": "708-857-7990",
            "fax_number": "708-857-7998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD S. KIRK, MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "KIRK",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "708-857-7990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036068842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haylee Thomas
• Jacqueline Nicole Thomas, PSYD
• Victoria Anquinette Thomas, BT
• Brandon Thomson
• Amy C Tiemersma, LCSW
• Rubabin Tooba, MD
• Jacquelyn T Torres, NP-C
• Khaled K Toumeh
• Anne Townsend, PT
• Robert Townsend

• Ophthalmology Physician in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.