Active NPI
Edward M. Atkins, M.D.,S.C.
- Anesthesiology Physician
- Evanston, IL
National Provider Identifier
1194766352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- EDWARD M. ATKINS, M.D.,S.C.
- Practice address
- 815 Howard St
Evanston, IL 60202-3916 - Phone
- (847) 869-8500
- NPI assigned
- Jun 9, 2006
- 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
- Dr. Edward M. Atkins, M.D.
- Title
- President
- Phone
- (847) 967-1149
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | IL | Primary |
Addresses
Primary practice location
815 Howard St
Evanston, IL 60202-3916
Mailing address
8135 N Milwaukee Ave
Niles, IL 60714-2828
Phone (847) 967-1149
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31600926 | Other | IL | BLUE SHIELD OF ILLINOIS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191456000000",
"number": "1194766352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8135 N MILWAUKEE AVE",
"city": "NILES",
"state": "IL",
"postal_code": "607142828",
"telephone_number": "847-967-1149",
"fax_number": "847-967-8594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 HOWARD ST",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602023916",
"telephone_number": "847-869-8500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD M. ATKINS, M.D.,S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-09",
"last_updated": "2007-10-04",
"status": "A",
"authorized_official_last_name": "ATKINS",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-967-1149",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF ILLINOIS",
"identifier": "31600926",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.