Organization Active NPI

Chicago Genetic Consultants, LLC

  • Genetic Counselor (M.S.)
  • Northbrook, IL
National Provider Identifier
1396298964
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
246.000009 Issued in IL
Legal business name
CHICAGO GENETIC CONSULTANTS, LLC
Practice address
801 Skokie Blvd
Suite 110
Northbrook, IL 60062-4039
Phone
(888) 725-4363
NPI assigned
Jul 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Authorized official

Name
Mr. Scott M Weissman, MS, CGC
Title
Genetic Counselor
Phone
(888) 725-4363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.)Group: 193400000X SINGLE SPECIALTY GROUP 170300000X 246.000009 IL Primary

Addresses

Primary practice location

801 Skokie Blvd
Suite 110
Northbrook, IL 60062-4039

Mailing address

801 Skokie Blvd
Suite 110
Northbrook, IL 60062-4039
Phone (888) 725-4363

National Provider Directory

National Provider Directory

Locations

801 Skokie Blvd
Ste 110
Northbrook, IL 60062
Phone (262) 745-9075

NPI Registry JSON

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1396298964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SKOKIE BLVD",
            "address_2": "SUITE 110",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624039",
            "telephone_number": "888-725-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SKOKIE BLVD",
            "address_2": "SUITE 110",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600624039",
            "telephone_number": "888-725-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO GENETIC CONSULTANTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "WEISSMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "GENETIC COUNSELOR",
        "authorized_official_telephone_number": "888-725-4363",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, CGC"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Genetic Counselor, MS",
            "state": "IL",
            "license": "246.000009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.