Susan E Pearlson MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036107647 Issued in IL

Legal business name

SUSAN E PEARLSON MD PA

Practice address

645 N Michigan Ave
Suite 410
Chicago, IL 60611-2826

Phone

(773) 531-3427

Fax

(773) 549-1655

NPI assigned

Jul 10, 2009

Last updated

Jul 10, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Pearlson, M.D.NPI 1972641934

Title

President

Phone

(773) 531-3427

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Pearlson, M.D.

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1972641934
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1437388576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 W WOLFRAM ST",
            "address_2": "UNIT B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575158",
            "telephone_number": "773-531-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N MICHIGAN AVE",
            "address_2": "SUITE 410",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112826",
            "telephone_number": "773-531-3427",
            "fax_number": "773-549-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN E PEARLSON MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "PEARLSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-531-3427",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036107647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972641934",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deja J Survillion
• Susan Anish P.C.
• Susan Bachman, LCSW,SC
• Susan Benjamin Feingold PSYD and Associates LLC
• Susan Burke MD
• Susan E. Pearlson, M.D., P.C.
• Susan Haido, MD PC
• Susan J Accardi MD LTD
• Susan Jane Taub MD SC (ALL EyeCare)
• Susan K. Park O.D, P.C.

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; 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.