Organization Active NPI

Susan Jane Taub MD SC

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1376726745
Registry record updated Dec 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SUSAN JANE TAUB MD SC
Practice address
1444 S Michigan Ave
Chicago, IL 60605-4827
Phone
(312) 810-2020
Fax
(312) 268-5297
NPI assigned
Dec 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2007

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

Authorized official

Name
Dr. Susan Jane Taub, MD
Title
Principal
Phone
(312) 735-8208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X IL Primary

Addresses

Primary practice location

1444 S Michigan Ave
Chicago, IL 60605-4827

Mailing address

2650 N Lakeview Ave
1506
Chicago, IL 60614-1840
Phone (312) 735-8208

Other names 1

  • ALL EyeCare Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1197158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197158400000",
    "number": "1376726745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 N LAKEVIEW AVE",
            "address_2": "1506",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141840",
            "telephone_number": "312-735-8208",
            "fax_number": "312-268-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 S MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606054827",
            "telephone_number": "312-810-2020",
            "fax_number": "312-268-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN JANE TAUB MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-09",
        "last_updated": "2007-12-09",
        "status": "A",
        "authorized_official_last_name": "TAUB",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "312-735-8208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALL EyeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 9, 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.