Organization Active NPI

Claude E. Merrin MD PC

  • Urology Physician
  • Chicago, IL
National Provider Identifier
1194908095
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
CLAUDE E. MERRIN MD PC
Practice address
4015 N Pulaski Rd
Chicago, IL 60641-2456
Phone
(773) 588-8855
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Claude E Merrin, MD
Title
President
Phone
(773) 588-8855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X IL Primary

Addresses

Primary practice location

4015 N Pulaski Rd
Chicago, IL 60641-2456

Mailing address

4015 N Pulaski Rd
Chicago, IL 60641-2456
Phone (773) 588-8855

Other identifiers 1

IdentifierTypeStateIssuer
611050OtherILMEDICARE GRP ID

National Provider Directory

National Provider Directory

Locations

4015 N Pulaski Rd
Chicago, IL 60641
Phone (773) 588-8853

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1194908095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412456",
            "telephone_number": "773-588-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412456",
            "telephone_number": "773-588-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAUDE E. MERRIN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "MERRIN",
        "authorized_official_first_name": "CLAUDE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-588-8855",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP ID",
            "identifier": "611050",
            "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 Jan 15, 2008; 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.