Organization Active NPI

Steven J. Deangeles, M.D., S.C.

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1104802370
Registry record updated Aug 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
STEVEN J. DEANGELES, M.D., S.C.
Practice address
200 S Michigan Ave
Suite 830
Chicago, IL 60604-2402
Phone
(312) 922-2500
Fax
(312) 922-2523
NPI assigned
Dec 20, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2013

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

Authorized official

Name
Dr. Steven J Deangeles, MD
Title
Physician Owner
Phone
(312) 922-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

200 S Michigan Ave
Suite 830
Chicago, IL 60604-2402

Mailing address

200 S Michigan Ave
Suite 830
Chicago, IL 60604-2402
Phone (312) 922-2500

Other identifiers 1

IdentifierTypeStateIssuer
01635312OtherILBLUE CROSS / BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

200 S Michigan Ave
Ste 830
Chicago, IL 60604
Phone (312) 922-2500

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1104802370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MICHIGAN AVE",
            "address_2": "SUITE 830",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606042402",
            "telephone_number": "312-922-2500",
            "fax_number": "312-922-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S MICHIGAN AVE",
            "address_2": "SUITE 830",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606042402",
            "telephone_number": "312-922-2500",
            "fax_number": "312-922-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN J. DEANGELES, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "DEANGELES",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "312-922-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS / BLUE SHIELD",
            "identifier": "01635312",
            "state": "IL"
        }
    ],
    "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 Aug 28, 2013; 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.