NPIMap

Organization Active NPI

Cardinal Technical SC

  • Specialist
  • Chicago, IL
National Provider Identifier
1174079883
Registry record updated Sep 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036099445 Issued in IL
Legal business name
CARDINAL TECHNICAL SC
Practice address
208 Lasalle Street
Suite 214
Chicago, IL 60604
Phone
(855) 200-8262
NPI assigned
Sep 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2016

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

Authorized official

Name
Amjad Safvi, M.D
Title
Medical Doctor
Phone
(855) 200-8262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 036099445 IL Primary

Addresses

Primary practice location

208 Lasalle Street
Suite 214
Chicago, IL 60604

Mailing address

7000 W Palmetto Park Rd
Suite 205
Boca Raton, FL 33433-3424
Phone (855) 200-8262

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1174079883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 W PALMETTO PARK RD",
            "address_2": "SUITE 205",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333424",
            "telephone_number": "855-200-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 LASALLE STREET",
            "address_2": "SUITE 214",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60604",
            "telephone_number": "855-200-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDINAL TECHNICAL SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "SAFVI",
        "authorized_official_first_name": "AMJAD",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "855-200-8262",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036099445",
            "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 1, 2016; 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.