NPIMap

Organization Active NPI

Emily Chatskis MD PC

  • Primary Care Clinic/Center
  • Wheeling, IL
National Provider Identifier
1114121209
Registry record updated Nov 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
036098264 Issued in IL
Legal business name
EMILY CHATSKIS MD PC
Practice address
505 N Wolf Rd
Wheeling, IL 60090-3027
Phone
(847) 520-2920
Fax
(847) 520-2925
NPI assigned
Jun 12, 2007
Last updated
Nov 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2014

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

Authorized official

Name
Dr. Emily Chatskis, MDNPI 1790771434
Title
President
Phone
(773) 275-8042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 036098264 IL Primary

Addresses

Primary practice location

505 N Wolf Rd
Wheeling, IL 60090-3027

Mailing address

2592 Violet St
Glenview, IL 60026-8033
Phone (847) 657-0053

Other identifiers 5

IdentifierTypeStateIssuer
9049076OtherILPHCS
0001626778OtherILBLUE CROSS BLUE SHIELD
0007246298OtherILAETNA
177490591478OtherILHUMANA
036098264MedicaidIL

National Provider Directory

National Provider Directory

Locations

237 W Dundee Rd
Buffalo Grove, IL 60089
Phone (847) 537-4320

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1114121209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2592 VIOLET ST",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600268033",
            "telephone_number": "847-657-0053",
            "fax_number": "773-275-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N WOLF RD",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903027",
            "telephone_number": "847-520-2920",
            "fax_number": "847-520-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY CHATSKIS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "CHATSKIS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-275-8042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036098264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9049076",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0001626778",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007246298",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "177490591478",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098264",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.