Active NPI
Christopher Alexander Puchi, MD
- Otolaryngology Physician
- Chicago, IL
National Provider Identifier
1215564174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 125075599
- Practice address
- 251 E Huron St
Chicago, IL 60611-3055 - Phone
- (312) 227-4000
- NPI assigned
- Mar 23, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Otolaryngology Physician | 207Y00000X | 125075599 | IL | Primary |
Addresses
Primary practice location
251 E Huron St
Chicago, IL 60611-3055
Mailing address
675 N Saint Clair St Ste 15-200
Chicago, IL 60611-5967
Phone (312) 695-8182
Other practice location 1
300 Randall Rd
Geneva, IL 60134-4200
Phone (630) 208-3000
Other practice location 2
1000 N Westmoreland Rd
Lake Forest, IL 60045-1658
Phone (847) 234-5600
Other practice location 3
225 E Chicago Ave
Chicago, IL 60611-2991
Phone (312) 227-4000
Other practice location 4
2750 W North Ave
Chicago, IL 60647-5247
Phone (312) 666-3494
Other practice location 5
355 E Erie St
Chicago, IL 60611-3167
Phone (312) 238-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200709002051 | IL | Order and Referring Only - Otolaryngology | 7012330020 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592438400000",
"number": "1215564174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 N SAINT CLAIR ST STE 15-200",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606115967",
"telephone_number": "312-695-8182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 E HURON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606113055",
"telephone_number": "312-227-4000"
}
],
"practiceLocations": [
{
"address_1": "300 Randall Rd",
"address_purpose": "LOCATION",
"city": "Geneva",
"state": "IL",
"postal_code": "601344200",
"country_code": "US",
"telephone_number": "630-208-3000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 N Westmoreland Rd",
"address_purpose": "LOCATION",
"city": "Lake Forest",
"state": "IL",
"postal_code": "600451658",
"country_code": "US",
"telephone_number": "847-234-5600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "225 E Chicago Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606112991",
"country_code": "US",
"telephone_number": "312-227-4000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2750 W North Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606475247",
"country_code": "US",
"telephone_number": "312-666-3494",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "355 E Erie St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606113167",
"country_code": "US",
"telephone_number": "312-238-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PUCHI",
"first_name": "CHRISTOPHER",
"middle_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-23",
"last_updated": "2020-06-18",
"certification_date": "2020-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IL",
"license": "125075599",
"primary": true
}
],
"identifiers": [],
"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 Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.