Organization Active NPI

Traisman Benuck Traisman & Merens

  • Pediatrics Physician
  • Evanston, IL
National Provider Identifier
1164412045
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
TRAISMAN BENUCK TRAISMAN & MERENS
Practice address
1325 Howard St
Suite 203
Evanston, IL 60202-3766
Phone
(847) 869-4300
Fax
(847) 869-4330
NPI assigned
Oct 24, 2005
Last updated
Nov 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

Name
Edward S Traisman, M.D.NPI 1366442766
Title
President
Phone
(847) 869-4300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

1325 Howard St
Suite 203
Evanston, IL 60202-3766

Mailing address

PO Box 640
Matteson, IL 60443-0640
Phone (708) 747-5850

National Provider Directory

National Provider Directory

Locations

1325 Howard St
Ste 203
Evanston, IL 60202
Phone (847) 869-4300

Practitioners & affiliated clinicians

Practitioners 4

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": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1164412045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604430640",
            "telephone_number": "708-747-5850",
            "fax_number": "708-747-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 HOWARD ST",
            "address_2": "SUITE 203",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023766",
            "telephone_number": "847-869-4300",
            "fax_number": "847-869-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAISMAN BENUCK TRAISMAN & MERENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "TRAISMAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-869-4300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 25, 2009; 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.