Active NPI
Sivashankar Chandrasekaran
- Surgical Assistant
- Westmont, IL
National Provider Identifier
1194120568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 238000428
- Practice address
- 1010 Executive Dr
Suite 250
Westmont, IL 60559-6135 - Phone
- (630) 920-2350
- Fax
- (630) 794-8662
- NPI assigned
- Oct 28, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 238000428 | IL | Primary |
Addresses
Primary practice location
1010 Executive Dr
Suite 250
Westmont, IL 60559-6135
Mailing address
550 W Ogden Ave
Hinsdale, IL 60521-3186
Phone (630) 323-6116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238000428 | IL | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414454400000",
"number": "1194120568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 W OGDEN AVE",
"city": "HINSDALE",
"state": "IL",
"postal_code": "605213186",
"telephone_number": "630-323-6116",
"fax_number": "630-794-8662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 EXECUTIVE DR",
"address_2": "SUITE 250",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605596135",
"telephone_number": "630-920-2350",
"fax_number": "630-794-8662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDRASEKARAN",
"first_name": "SIVASHANKAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-28",
"last_updated": "2014-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "IL",
"license": "238000428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.