Endocrinology Consults and Care Service Corporation

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

ENDOCRINOLOGY CONSULTS AND CARE SERVICE CORPORATION

Doing business as

Endocrinology Consults and Care Service Corporation

Practice address

3048 W Peterson Ave
Chicago, IL 60659-3720

Phone

(773) 381-0517

Fax

(773) 381-0617

NPI assigned

Sep 5, 2014

Last updated

Mar 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Susan Shapiro Braithwaite, M.D.

Title

President

Phone

(847) 906-4910

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Endocrinology Consults and Care Service Corporation Doing business as

Locations

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1366843682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 RIDGE RD",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911567",
            "telephone_number": "847-906-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3048 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606593720",
            "telephone_number": "773-381-0517",
            "fax_number": "773-381-0617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINOLOGY CONSULTS AND CARE SERVICE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "BRAITHWAITE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "SHAPIRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-906-4910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "F100165220",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endocrinology Consults and Care Service Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Endocrinology, Diabetes & Metabolism Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Endocrinology, Diabetes & Metabolism Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.