Active NPI
Cyril M Chrabot MD SC
- Surgery Physician
- Chicago, IL
National Provider Identifier
1417127622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- CYRIL M CHRABOT MD SC
- Practice address
- 6925 W Archer Ave
Chicago, IL 60638-2319 - Phone
- (773) 586-2099
- Fax
- (773) 586-8089
- NPI assigned
- Mar 4, 2008
- 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. Cyril M Chrabot, MD
- Title
- President
- Phone
- (773) 586-2099
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | IL | Primary |
Addresses
Primary practice location
6925 W Archer Ave
Chicago, IL 60638-2319
Mailing address
6925 W Archer Ave
Chicago, IL 60638-2319
Phone (773) 586-2099
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0021629442 | Other | IL | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
6925 W Archer Ave
Chicago, IL 60638
Phone (773) 586-0811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204588800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208476800000",
"number": "1417127622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6925 W ARCHER AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606382319",
"telephone_number": "773-586-2099",
"fax_number": "773-586-8089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6925 W ARCHER AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606382319",
"telephone_number": "773-586-2099",
"fax_number": "773-586-8089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CYRIL M CHRABOT MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-04",
"last_updated": "2008-04-18",
"status": "A",
"authorized_official_last_name": "CHRABOT",
"authorized_official_first_name": "CYRIL",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-586-2099",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0021629442",
"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 Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.