NPIMap

Organization Active NPI

Cardiovascular Associates of Glenbrook and Evanston

  • Legal Medicine
  • Evanston, IL
National Provider Identifier
1093931032
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
202886 Issued in IL
Legal business name
CARDIOVASCULAR ASSOCIATES OF GLENBROOK AND EVANSTON
Practice address
1713 Central St
Evanston, IL 60201-1507
Phone
(847) 869-1499
Fax
(847) 869-2932
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Dr. Irwin M Silverman, MD
Title
Partner
Phone
(847) 869-1499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 202886 IL Primary

Addresses

Primary practice location

1713 Central St
Evanston, IL 60201-1507

Mailing address

1713 Central St
Evanston, IL 60201-1507
Phone (847) 869-1499

Other identifiers 2

IdentifierTypeStateIssuer
01632521OtherILBC/BS #
202886OtherILILLINOIS MEDICARE B

Other names 1

  • CAGE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cage2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1093931032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 CENTRAL ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011507",
            "telephone_number": "847-869-1499",
            "fax_number": "847-869-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 CENTRAL ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011507",
            "telephone_number": "847-869-1499",
            "fax_number": "847-869-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASCULAR ASSOCIATES OF GLENBROOK AND EVANSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "SILVERMAN",
        "authorized_official_first_name": "IRWIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "847-869-1499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "IL",
            "license": "202886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS #",
            "identifier": "01632521",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS MEDICARE B",
            "identifier": "202886",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAGE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.