Thomas J Haberkamp M D S C

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

THOMAS J HABERKAMP M D S C

Practice address

1725 W Harrison St
Suite 938
Chicago, IL 60612-3841

Phone

(312) 942-9980

Fax

(312) 942-9970

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Thomas J Haberkamp, MDNPI 1629064803

Title

Sole Proprietor

Phone

(312) 942-9980

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas J Haberkamp, MD

  • Otolaryngology Physician
  • Cleveland, OH
  • NPI 1629064803
  NPD (past) Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1346349974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 OAKMONT LN",
            "address_2": "SUITE 1600",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595511",
            "telephone_number": "630-789-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "SUITE 938",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-942-9980",
            "fax_number": "312-942-9970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J HABERKAMP M D S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "HABERKAMP",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "312-942-9980",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC3075",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVOCATE HLTH PARTNERS",
            "identifier": "9190424",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "1627261",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Faye Thomas Bash, APN
• Thomas D Patrianakos Northwest Chicago Eye Specialists (Northwest Chicago Eye Specialists)
• Thomas Drost, LTD
• Leiana Jae Thomas Gary
• Carrie S Thomas Hossain, PSY.D
• Thomas Klarquist, PC
• Thomas L Pitts, MD LLC
• Thomas L. Fisher, M.D., S.C.
• Thomas M Joyce DDS LTD
• Thomas Nedderman Counseling

• Otolaryngology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Otolaryngology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.