Active NPI
Rebecca J Duke MD PC
- Specialist
- Chicago, IL
National Provider Identifier
1316279441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 036079316
- Legal business name
- REBECCA J DUKE MD PC
- Practice address
- 3929 N Central Ave
Ste 3
Chicago, IL 60634-3072 - Phone
- (773) 202-7703
- Fax
- (773) 202-7708
- NPI assigned
- Jan 29, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca J Duke, M.D.
- Title
- President
- Phone
- (773) 202-7703
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036079316 | IL | Primary |
Addresses
Primary practice location
3929 N Central Ave
Ste 3
Chicago, IL 60634-3072
Mailing address
3929 N Central Ave
Ste 3
Chicago, IL 60634-3072
Phone (773) 202-7703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036079316 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
3929 N Central Ave
Ste 3
Chicago, IL 60634
Phone (773) 202-7703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264723200000",
"number": "1316279441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3929 N CENTRAL AVE",
"address_2": "STE 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606343072",
"telephone_number": "773-202-7703",
"fax_number": "773-202-7708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3929 N CENTRAL AVE",
"address_2": "STE 3",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606343072",
"telephone_number": "773-202-7703",
"fax_number": "773-202-7708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REBECCA J DUKE MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-29",
"last_updated": "2010-01-29",
"status": "A",
"authorized_official_last_name": "DUKE",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-202-7703",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "IL",
"license": "036079316",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036079316",
"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 Jan 29, 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.