Active NPI
David J. Palmer, M.D., S.C.
- Ophthalmology Physician
- Chicago, IL
National Provider Identifier
1164524021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036062843
- Legal business name
- DAVID J. PALMER, M.D., S.C.
- Practice address
- 259 E Erie St Ste 1520
Chicago, IL 60611-3111 - Phone
- (312) 695-8150
- Fax
- (312) 695-3652
- NPI assigned
- Sep 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David J Palmer, MD
- Title
- Ophthalmologist
- Phone
- (312) 695-8150
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036062843 | IL | Primary |
Addresses
Primary practice location
259 E Erie St Ste 1520
Chicago, IL 60611-3111
Mailing address
259 E Erie St Ste 1520
Chicago, IL 60611-3111
Phone (312) 695-8150
Other practice location 1
1630 Sherman Ave
Evanston, IL 60201-3711
Phone (847) 535-6440
National Provider Directory
National Provider DirectoryLocations
3633 W Lake Ave
Ste 301
Glenview, IL 60026
Phone (847) 901-0333
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Woonsocket, RI
- NPI 1912168352
Ophthalmology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692144000000",
"number": "1164524021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "259 E ERIE ST STE 1520",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113111",
"telephone_number": "312-695-8150",
"fax_number": "312-695-3652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "259 E ERIE ST STE 1520",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113111",
"telephone_number": "312-695-8150",
"fax_number": "312-695-3652"
}
],
"practiceLocations": [
{
"address_1": "1630 Sherman Ave",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "IL",
"postal_code": "602013711",
"country_code": "US",
"telephone_number": "847-535-6440",
"fax_number": "224-271-4870",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DAVID J. PALMER, M.D., S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-02",
"last_updated": "2023-08-16",
"certification_date": "2023-08-16",
"status": "A",
"authorized_official_last_name": "PALMER",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OPHTHALMOLOGIST",
"authorized_official_telephone_number": "312-695-8150",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "IL",
"license": "036062843",
"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 Aug 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.