Active NPI
Claire Roesler, MD
- Otolaryngology Physician
- Chicago, IL
National Provider Identifier
1427745322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- PENDING
- Practice address
- 820 South Wood Street
Suite 100, MC 675
Chicago, IL 60612 - Phone
- (312) 996-2933
- NPI assigned
- Apr 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | PENDING | IL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
820 South Wood Street
Suite 100, MC 675
Chicago, IL 60612
Mailing address
820 South Wood Street
Suite 100, MC 675
Chicago, IL 60612
Phone (312) 996-2933
Other practice location 1
3901 Hampton Ave
Western Springs, IL 60558-1012
Phone (630) 373-4071
Other practice location 2
1601 Parkview Ave
Rockford, IL 61107-1822
Phone (815) 395-0600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240704000719 | IL | Order and Referring Only - Otolaryngology | 8729522461 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | IL | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Interoperability endpoints
- croesler137924@uihealth.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713657600000",
"number": "1427745322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 SOUTH WOOD STREET",
"address_2": "SUITE 100, MC 675",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-996-2933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 SOUTH WOOD STREET",
"address_2": "SUITE 100, MC 675",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-996-2933"
}
],
"practiceLocations": [
{
"address_1": "3901 Hampton Ave",
"address_purpose": "LOCATION",
"city": "Western Springs",
"state": "IL",
"postal_code": "605581012",
"country_code": "US",
"telephone_number": "630-373-4071",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1601 Parkview Ave",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611071822",
"country_code": "US",
"telephone_number": "815-395-0600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROESLER",
"first_name": "CLAIRE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-20",
"last_updated": "2024-04-21",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IL",
"license": "PENDING",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"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 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.