Organization Active NPI

David J. Palmer, M.D., S.C.

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1164524021
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036062843 Issued in IL
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

Updated by the provider on Aug 16, 2023

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.