Organization Active NPI

Cyril M Chrabot MD SC

  • Surgery Physician
  • Chicago, IL
National Provider Identifier
1417127622
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on Apr 18, 2008

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0021629442OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.