Individual provider Active NPI

Duke Geem, MD, PHD

  • Pediatrics Physician
  • North Chicago, IL
National Provider Identifier
1225569882
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
159500 Issued in CA
Practice address
1 N Waukegan Rd BLDG Ap31-2
North Chicago, IL 60064-1802
Phone
(847) 937-3278
NPI assigned
Mar 24, 2017
Last updated
Oct 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 159500 CA Primary

Addresses

Primary practice location

1 N Waukegan Rd BLDG Ap31-2
North Chicago, IL 60064-1802

Mailing address

1 N Waukegan Rd BLDG Ap31-2
North Chicago, IL 60064-1802

Other identifiers 2

IdentifierTypeStateIssuer
159500OtherCAMEDICAL BOARD OF CALIFORNIA LICENSE
81839OtherGAGEORGIA COMPOSITE MEDICAL BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190306000557 CA Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 2062751241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1225569882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N WAUKEGAN RD BLDG AP31-2",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600641802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 N WAUKEGAN RD BLDG AP31-2",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600641802",
            "telephone_number": "847-937-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEEM",
        "first_name": "DUKE",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-24",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "159500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA LICENSE",
            "identifier": "159500",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA COMPOSITE MEDICAL BOARD",
            "identifier": "81839",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chicago, IL

Sources for this page

Verify at the official NPI Registry.