David Tartof MD, PHD, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

036044364 Issued in IL

Legal business name

DAVID TARTOF MD, PHD, INC

Practice address

2525 S Michigan Ave
Doctors Office Center - 2ND Floor
Chicago, IL 60616-2333

Phone

(312) 315-5115

Fax

(312) 986-8694

NPI assigned

Jan 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David Tartof, MD, PHD

Title

Sole Proprietor

Phone

(312) 315-5115

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1114104528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5511 S KIMBARK AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371618",
            "telephone_number": "312-315-5115",
            "fax_number": "312-986-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVE",
            "address_2": "DOCTORS OFFICE CENTER - 2ND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162333",
            "telephone_number": "312-315-5115",
            "fax_number": "312-986-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID TARTOF MD, PHD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "TARTOF",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "312-315-5115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036044364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.