Organization Active NPI

Alexander E Obolsky MD PC

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1144369927
Registry record updated Sep 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036081074 Issued in IL
Legal business name
ALEXANDER E OBOLSKY MD PC
Practice address
100 W Monroe St
Suite 1107
Chicago, IL 60603-1967
Phone
(312) 456-4343
Fax
(312) 456-8304
NPI assigned
Feb 6, 2007
Last updated
Sep 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2008

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

Authorized official

Name
Dr. Alexander Edward Obolosky, MD
Title
Owner
Phone
(312) 456-4343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036081074 IL Primary

Addresses

Primary practice location

100 W Monroe St
Suite 1107
Chicago, IL 60603-1967

Mailing address

100 W Monroe St
Suite 1107
Chicago, IL 60603-1967
Phone (312) 456-4343

National Provider Directory

National Provider Directory

Locations

100 W Monroe St
Ste 1107
Chicago, IL 60603
Phone (312) 456-4343

Practitioners & affiliated clinicians

Practitioners 1

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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220486400000",
    "number": "1144369927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W MONROE ST",
            "address_2": "SUITE 1107",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606031967",
            "telephone_number": "312-456-4343",
            "fax_number": "312-456-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W MONROE ST",
            "address_2": "SUITE 1107",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606031967",
            "telephone_number": "312-456-4343",
            "fax_number": "312-456-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER E OBOLSKY MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-09-04",
        "status": "A",
        "authorized_official_last_name": "OBOLOSKY",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-456-4343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036081074",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 4, 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.