Active NPI
Chicago Genetic Consultants, LLC
- Genetic Counselor (M.S.)
- Northbrook, IL
National Provider Identifier
1396298964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- License
- 246.000009
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 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 DirectoryLocations
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": []
}
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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.