Active NPI
Swapnil Vyankatrao Adhav, M.D.
- Surgery Physician
- Chicago, IL
National Provider Identifier
1285942292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 125-057847
- Practice address
- 836 W Wellington Ave
Room No 4807
Chicago, IL 60657-5147 - Phone
- (773) 296-7093
- NPI assigned
- Sep 24, 2010
- Last updated
- Sep 24, 2010
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 125-057847 | IL | Primary |
Addresses
Primary practice location
836 W Wellington Ave
Room No 4807
Chicago, IL 60657-5147
Mailing address
856 W Nelson St
Apt 908
Chicago, IL 60657-5152
Phone (678) 642-4117
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125-057847 | IL | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285286400000",
"number": "1285942292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "856 W NELSON ST",
"address_2": "APT 908",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575152",
"telephone_number": "678-642-4117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 W WELLINGTON AVE",
"address_2": "ROOM NO 4807",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575147",
"telephone_number": "773-296-7093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADHAV",
"first_name": "SWAPNIL",
"middle_name": "VYANKATRAO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-24",
"last_updated": "2010-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "125-057847",
"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 Sep 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.