NPIMap

Organization Active NPI

Sofia Garcia-Buder, M.D., S.C.

  • Endocrinology, Diabetes & Metabolism Physician
  • Chicago, IL
National Provider Identifier
1356389035
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
036074618 Issued in IL
Legal business name
SOFIA GARCIA-BUDER, M.D., S.C.
Practice address
2719 N Halsted St
C-1
Chicago, IL 60614-1413
Phone
(773) 388-5685
Fax
(773) 388-5687
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Authorized official

Name
Dr. Sofia Amanda Garcia-Buder, M.D.
Title
President
Phone
(773) 388-5685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RE0101X 036074618 IL Primary

Addresses

Primary practice location

2719 N Halsted St
C-1
Chicago, IL 60614-1413

Mailing address

2719 N Halsted St
C-1
Chicago, IL 60614-1413
Phone (773) 388-5685

Other identifiers 3

IdentifierTypeStateIssuer
036074618MedicaidIL
01632690OtherILBCBSI
4315864OtherILCIGNA

National Provider Directory

National Provider Directory

Locations

2719 N Halsted St
#C1
Chicago, IL 60614
Phone (312) 804-1655

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1356389035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 N HALSTED ST",
            "address_2": "C-1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141413",
            "telephone_number": "773-388-5685",
            "fax_number": "773-388-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 N HALSTED ST",
            "address_2": "C-1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141413",
            "telephone_number": "773-388-5685",
            "fax_number": "773-388-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOFIA GARCIA-BUDER, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "GARCIA-BUDER",
        "authorized_official_first_name": "SOFIA",
        "authorized_official_middle_name": "AMANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-388-5685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "036074618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036074618",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSI",
            "identifier": "01632690",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4315864",
            "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 May 3, 2011; 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.