Individual provider Active NPI

Bruce L. Dresner, M.D.

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1174697163
Registry record updated Jun 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036045823 Issued in IL
Practice address
150 E Huron St
Ste 1101
Chicago, IL 60611-2948
Phone
(312) 337-6888
Fax
(312) 943-9943
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036045823 IL Primary

Addresses

Primary practice location

150 E Huron St
Ste 1101
Chicago, IL 60611-2948

Mailing address

150 E Huron St
Ste 1101
Chicago, IL 60611-2948
Phone (312) 337-6888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040302000535 IL Practitioner - Psychiatry 4385531607 Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Northwestern University Feinberg Medical School, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

645 N Michigan Ave
Suite 422
Chicago, IL 60611-5800
Phone (312) 337-6888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036045823ILMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466035200000",
    "number": "1174697163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E HURON ST",
            "address_2": "STE 1101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112948",
            "telephone_number": "312-337-6888",
            "fax_number": "312-943-9943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E HURON ST",
            "address_2": "STE 1101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112948",
            "telephone_number": "312-337-6888",
            "fax_number": "312-943-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRESNER",
        "first_name": "BRUCE",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2016-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036045823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.