Active NPI
Susan J Accardi MD LTD
- Psychiatry Physician
- Chicago, IL
National Provider Identifier
1174786255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036054322
- Legal business name
- SUSAN J ACCARDI MD LTD
- Practice address
- 25 E Washington St
Suite 1464
Chicago, IL 60602-1708 - Phone
- (312) 855-0208
- Fax
- (312) 230-0300
- NPI assigned
- Jul 8, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan J Accardi, M D
- Title
- President
- Phone
- (312) 855-0208
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036054322 | IL | Primary |
Addresses
Primary practice location
25 E Washington St
Suite 1464
Chicago, IL 60602-1708
Mailing address
25 E Washington St
Suite 1464
Chicago, IL 60602-1708
Phone (312) 855-0208
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0021607345 | Other | IL | BLUE CROSS |
| 036054322 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
25 E Washington St
Ste 1464
Chicago, IL 60602
Phone (312) 600-7818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215475200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386633600000",
"number": "1174786255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 E WASHINGTON ST",
"address_2": "SUITE 1464",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606021708",
"telephone_number": "312-855-0208",
"fax_number": "312-230-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 E WASHINGTON ST",
"address_2": "SUITE 1464",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606021708",
"telephone_number": "312-855-0208",
"fax_number": "312-230-0300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN J ACCARDI MD LTD",
"organizational_subpart": "NO",
"enumeration_date": "2008-07-08",
"last_updated": "2013-12-10",
"status": "A",
"authorized_official_last_name": "ACCARDI",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "312-855-0208",
"authorized_official_credential": "M D"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036054322",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0021607345",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036054322",
"state": "IL"
}
],
"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 Dec 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.