Chicago Arthritis LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

CHICAGO ARTHRITIS LLC

Practice address

618 W Fulton St
Chicago, IL 60661-1144

Phone

(773) 348-7171

Fax

(773) 348-7414

NPI assigned

Feb 22, 2023

Last updated

Feb 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Siddharth Tambar, MDNPI 1477655488

Title

Owner

Phone

(773) 348-7171

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Chicago Arthritis2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Chicago Arthritis LLC

  • Rheumatology Physician
  • Chicago, IL
  • NPI 1477915221
  NPD tax ID

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.

• Siddharth Tambar, MD

  • Rheumatology Physician
  • Chicago, IL
  • NPI 1477655488
  NPD Authorized official

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1275231813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 W FULTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611144",
            "telephone_number": "773-348-7171",
            "fax_number": "773-348-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 W FULTON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611144",
            "telephone_number": "773-348-7171",
            "fax_number": "773-348-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO ARTHRITIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "TAMBAR",
        "authorized_official_first_name": "SIDDHARTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-348-7171",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "F1003344031",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-Pharmacy Dispensing Site in Chicago, IL
• Providers in Chicago, IL by specialty
• Non-Pharmacy Dispensing Site in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.