Organization Active NPI

Milton H Daugherty MD LTD

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1336481332
Registry record updated Mar 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036048434 Issued in IL
Legal business name
MILTON H DAUGHERTY MD LTD
Practice address
7531 S Stony Island Ave
Jackson Park Hospital & Medical Center
Chicago, IL 60649-3954
Phone
(773) 947-7900
Fax
(773) 947-7901
NPI assigned
Mar 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2013

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

Authorized official

Name
Dr. Milton H Daugherty, MD
Title
Owner
Phone
(773) 947-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 036048434 IL Primary

Addresses

Primary practice location

7531 S Stony Island Ave
Jackson Park Hospital & Medical Center
Chicago, IL 60649-3954

Mailing address

4800 S Kenwood Ave
Chicago, IL 60615-2016
Phone (773) 947-7900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1336481332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 S KENWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606152016",
            "telephone_number": "773-947-7900",
            "fax_number": "773-947-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7531 S STONY ISLAND AVE",
            "address_2": "JACKSON PARK HOSPITAL & MEDICAL CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493954",
            "telephone_number": "773-947-7900",
            "fax_number": "773-947-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILTON H DAUGHERTY MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "DAUGHERTY",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-947-7900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036048434",
            "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 Mar 18, 2013; 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.