Active NPI
Pawan K Sethi, M.D.
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1235297938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036051530
- Practice address
- 7447 W Talcott Ave
Suite 415
Chicago, IL 60631-3745 - Phone
- (773) 763-3808
- Fax
- (773) 763-2885
- NPI assigned
- Dec 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036051530 | IL | Primary |
Addresses
Primary practice location
7447 W Talcott Ave
Suite 415
Chicago, IL 60631-3745
Mailing address
7447 W Talcott Ave
Suite 415
Chicago, IL 60631-3745
Phone (773) 763-3808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036051530 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214524800000",
"number": "1235297938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7447 W TALCOTT AVE",
"address_2": "SUITE 415",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606313745",
"telephone_number": "773-763-3808",
"fax_number": "773-763-2885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7447 W TALCOTT AVE",
"address_2": "SUITE 415",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606313745",
"telephone_number": "773-763-3808",
"fax_number": "773-763-2885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SETHI",
"first_name": "PAWAN",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2008-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036051530",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036051530",
"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 Jun 27, 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.