Active NPI
Ronald J Vasu MD SC
- Psychiatry Physician
- Chicago, IL
National Provider Identifier
1407876832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036039369
- Legal business name
- RONALD J VASU MD SC
- Practice address
- 233 E Erie St
Suite 605
Chicago, IL 60611-2926 - Phone
- (312) 642-2434
- NPI assigned
- Jul 20, 2006
- 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
- Dr. Ronald J Vasu, M.D.
- Title
- President
- Phone
- (312) 642-2434
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036039369 | IL | Primary |
Addresses
Primary practice location
233 E Erie St
Suite 605
Chicago, IL 60611-2926
Mailing address
233 E Erie St
Suite 605
Chicago, IL 60611-2926
Phone (312) 642-2434
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036039369 | Medicaid | IL | |
| 210716 | Other | IL | WPS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
233 E Erie St
Ste 605
Chicago, IL 60611
Phone (312) 642-2434
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Chicago, IL
- NPI 1558381970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369699200000",
"number": "1407876832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 E ERIE ST",
"address_2": "SUITE 605",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112926",
"telephone_number": "312-642-2434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 E ERIE ST",
"address_2": "SUITE 605",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112926",
"telephone_number": "312-642-2434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONALD J VASU MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-20",
"last_updated": "2013-05-28",
"status": "A",
"authorized_official_last_name": "VASU",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "312-642-2434",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036039369",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036039369",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WPS",
"identifier": "210716",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
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 May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.