Prem N Pahwa MD SC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PREM N PAHWA MD SC

Practice address

1431 N Western Ave
Suite 134
Chicago, IL 60622-1797

Phone

(773) 685-3846

Fax

(773) 685-7264

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Prem Nath Pahwa, M.D.NPI 1649361791

Title

President

Phone

(773) 685-3846

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Prem Nath Pahwa, M.D.

  • Specialist
  • Chicago, IL
  • NPI 1649361791
  NPD (past) Authorized official

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1174711287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 N WESTERN AVE",
            "address_2": "SUITE 134",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221797",
            "telephone_number": "773-685-3846",
            "fax_number": "773-685-7264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 N WESTERN AVE",
            "address_2": "SUITE 134",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221797",
            "telephone_number": "773-685-3846",
            "fax_number": "773-685-7264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREM N PAHWA MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "PAHWA",
        "authorized_official_first_name": "PREM",
        "authorized_official_middle_name": "NATH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-685-3846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "K07282",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine R Preissler, PT
• Michael J Prejean, APRN, CRNA
• Joann J Prekezes, MS OTRL
• Valerie Prelee
• Laura Prelletz, PT, DPT
• Komal Prem, M.D.
• Courtney Premer-Barragan, MD, PHD
• Premier Cardiovascular Institute Inc
• Premier Chiro PC
• Premier Communications & Marketing LLC

• Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.