Endopeak SC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

036.138259 Issued in IL

Legal business name

ENDOPEAK SC

Practice address

836 W Wellington Ave
Office 4411
Chicago, IL 60657-5147

Phone

(267) 324-8862

NPI assigned

Nov 13, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Evgenia Korytnaya, M.D.

Title

Ceo

Phone

(267) 324-8862

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Julian W Dixon, M.D.

  • Otolaryngology Physician
  • Chicago, IL
  • NPI 1568628337
  NPD
• Joaquin J Estrada, MD

  • Colon & Rectal Surgery Physician
  • Chicago, IL
  • NPI 1629126651
  NPD (past)

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447372800000",
    "number": "1376917344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 W WELLINGTON AVE",
            "address_2": "OFFICE 4411",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575147",
            "telephone_number": "267-324-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 W WELLINGTON AVE",
            "address_2": "OFFICE 4411",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575147",
            "telephone_number": "267-324-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOPEAK SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-13",
        "last_updated": "2015-11-13",
        "status": "A",
        "authorized_official_last_name": "KORYTNAYA",
        "authorized_official_first_name": "EVGENIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-324-8862",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "036.138259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Endeavor Mental Healthcare and Medical Services LTD
• Thomas Endicott, D.D.S.
• Endocrine & Diabetes Associates S C
• Endocrinology Consults and Care Service Corporation
• Endodontics Limited
• Mara Endoy, NP
• Maurice Endsley Jr., PHD
• Nneoma Chiamaka Eneh, M.D.
• Grace Ngozi Eneogwe, NURSE PRACTITIONER
• Emily Eng, OD

• Medical Specialty Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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.