Organization Active NPI

Enio a Rigolin MD SC

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1225450497
Registry record updated Jan 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036043155 Issued in IL
Legal business name
ENIO A RIGOLIN MD SC
Practice address
600 N McClurg CT
Chicago, IL 60611-3044
Phone
(630) 241-1495
Fax
(630) 241-1543
NPI assigned
Jan 7, 2014
Last updated
Jan 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2014

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

Authorized official

Name
Enio A Rigolin, MDNPI 1023087327
Title
Owner
Phone
(630) 241-1495

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036043155 IL Primary

Addresses

Primary practice location

600 N McClurg CT
Chicago, IL 60611-3044

Mailing address

343 Park PL
Glencoe, IL 60022-1269
Phone (630) 241-1495

Other identifiers 1

IdentifierTypeStateIssuer
036043155MedicaidIL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1225450497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 PARK PL",
            "city": "GLENCOE",
            "state": "IL",
            "postal_code": "600221269",
            "telephone_number": "630-241-1495",
            "fax_number": "630-241-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N MCCLURG CT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113044",
            "telephone_number": "630-241-1495",
            "fax_number": "630-241-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENIO A RIGOLIN MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "RIGOLIN",
        "authorized_official_first_name": "ENIO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-241-1495",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036043155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036043155",
            "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 7, 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.

Verify at the official NPI Registry.