Teri A Merens, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036077183 Issued in IL

Practice address

1325 Howard St
Suite 203
Evanston, IL 60202-3766

Phone

(847) 869-4300

Fax

(847) 869-4330

NPI assigned

Jul 27, 2005

Last updated

Nov 25, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lurie Children's Medical Group Inc

  dba LCMG Inc

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1518064716
  NPD (past)
• Traisman Benuck Traisman & Merens

  • Pediatrics Physician
  • Evanston, IL
  • NPI 1164412045
  NPD (past)

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259107200000",
    "number": "1174523625",
    "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": "708-747-7991"
        },
        {
            "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": {
        "last_name": "MERENS",
        "first_name": "TERI",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-27",
        "last_updated": "2009-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036077183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melvin and Jazmine Dillard DDS, PC (Dental Art Specialists)
• Christina Mendez, LCSW
• Stephanie Mendoza
• Ashley Marie Menich, PA-C
• Amanda Menze, MD
• Douglas Edward Merkel, MD
• Jenny Brook Merkel, D.C.
• Merrill J Zahtz MD SC
• Timothy Nelson Merrill, M.D.
• Sisay Bekele Mersha, NP

• Pediatrics Physician in Evanston, IL
• Providers in Evanston, IL by specialty
• Pediatrics Physician in Illinois

• 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.