Active NPI
Chicago Medical School
- Psychiatric Hospital Unit
- North Chicago, IL
National Provider Identifier
1316329162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- License
- 125067684
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125067684 | Other | IL | IL MEDICAL NUMBER |
National Provider Directory
National Provider DirectoryLocations
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.