Children'S Clinic Munster

Primary specialty

SpecialistTaxonomy code 174400000X

License

01026157 Issued in IN

Legal business name

CHILDREN'S CLINIC MUNSTER

Practice address

8224 Calumet Ave
Munster, IN 46321-1704

Phone

(219) 836-1855

Fax

(219) 836-0527

NPI assigned

Aug 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. S Daman Paul, MD

Title

Owner

Phone

(219) 836-1855

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 3

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

• Cathy Jeanne Chess, RN, CPNP

  • Pediatric Nurse Practitioner
  • Munster, IN
  • NPI 1679544977
  NPD (past)
• Radhika Chillarige, M.D.

  • Pediatrics Physician
  • Crown Point, IN
  • NPI 1942233200

  Specialist

  NPD (past)
• Marwan Abdul Samad, M.D.

  • Pediatrics Physician
  • Munster, IN
  • NPI 1881609295
  NPD (past)

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1215040969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8224 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "46321",
            "telephone_number": "219-836-1855",
            "fax_number": "219-836-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8224 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211704",
            "telephone_number": "219-836-1855",
            "fax_number": "219-836-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S CLINIC MUNSTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "S DAMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-836-1855",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "01026157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS IL",
            "identifier": "91115202",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100316230A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000088303",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chest Physician Consultants, LTD
• Chest Specialists, P.C.
• Yiqing CHI, M.D.
• Chicago Spine and Vascular Institute P.C.
• Bashar Chihada Alhariri, M.D.
• Childrens & Family Medicine Clinic PC
• Phillip Cho
• Eunjin Choi, FNP
• Samra Chouhdry, PHARMD
• Gorantla M Chowdary, M.D.

• All providers in Munster, IN
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.