Active NPI
Syed Wajid, MD
- Pediatrics Physician
- Chicago, IL
National Provider Identifier
1275615080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036-048895
- Practice address
- 2720 W 15TH St
1St Floor
Chicago, IL 60608-1610 - Phone
- (773) 257-1700
- Fax
- (773) 257-6888
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036-048895 | IL | Primary |
Addresses
Primary practice location
2720 W 15TH St
1St Floor
Chicago, IL 60608-1610
Mailing address
2720 W 15TH St
1St Floor
Chicago, IL 60608-1610
Phone (773) 257-1700
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-048895 | IL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339027200000",
"number": "1275615080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 W 15TH ST",
"address_2": "1ST FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606081610",
"telephone_number": "773-257-1700",
"fax_number": "773-257-6888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2720 W 15TH ST",
"address_2": "1ST FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606081610",
"telephone_number": "773-257-1700",
"fax_number": "773-257-6888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAJID",
"first_name": "SYED",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2012-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036-048895",
"primary": true
}
],
"identifiers": [],
"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 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.