Organization Active NPI

Jesse S Chandler MD SC

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1255384707
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
JESSE S CHANDLER MD SC
Practice address
1135 E 87TH St
Chicago, IL 60619-7011
Phone
(773) 602-7800
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Jesse S Chandler, MD
Title
Ceo
Phone
(773) 602-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X IL Primary

Addresses

Primary practice location

1135 E 87TH St
Chicago, IL 60619-7011

Mailing address

1135 E 87TH St
Chicago, IL 60619-7011
Phone (773) 602-7800

Other names 1

  • CHATHAM OBSTETRICS & GYNECOLOGY ASSOC Doing business as

National Provider Directory

National Provider Directory

Locations

1135 E 87th St
Chicago, IL 60619
Phone (312) 326-1615

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1255384707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 E 87TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606197011",
            "telephone_number": "773-602-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 E 87TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606197011",
            "telephone_number": "773-602-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE S CHANDLER MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-602-7800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHATHAM OBSTETRICS & GYNECOLOGY ASSOC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 12, 2007; 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.