Organization Active NPI

Chicago Medical School

  • Psychiatric Hospital Unit
  • North Chicago, IL
National Provider Identifier
1316329162
Registry record updated Jun 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
125067684 Issued in IL
Legal business name
CHICAGO MEDICAL SCHOOL
Practice address
3333 Green Bay Rd
North Chicago, IL 60064-3037
Phone
(734) 286-4594
NPI assigned
Jun 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2015

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

Authorized official

Name
Ms. David Garfield, MD
Title
Psychiatry Department Chair
Phone
(847) 208-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 125067684 IL Primary

Addresses

Primary practice location

3333 Green Bay Rd
North Chicago, IL 60064-3037

Mailing address

3333 Green Bay Rd
North Chicago, IL 60064-3037

Other identifiers 1

IdentifierTypeStateIssuer
125067684OtherILIL MEDICAL NUMBER

National Provider Directory

National Provider Directory

Locations

3333 Green Bay Rd
North Chicago, IL 60064
Phone (847) 578-3000

NPI Registry JSON

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

{
    "created_epoch": "1435449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435449600000",
    "number": "1316329162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 GREEN BAY RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600643037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 GREEN BAY RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600643037",
            "telephone_number": "734-286-4594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO MEDICAL SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-28",
        "last_updated": "2015-06-28",
        "status": "A",
        "authorized_official_last_name": "GARFIELD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PSYCHIATRY DEPARTMENT CHAIR",
        "authorized_official_telephone_number": "847-208-9090",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "IL",
            "license": "125067684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL MEDICAL NUMBER",
            "identifier": "125067684",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2015; 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.