Active NPI
Osama Tagiuri
- Surgical Technologist
- Chicago, IL
National Provider Identifier
1437578168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 238000316
- Practice address
- 2300 W Peterson Ave
Chicago, IL 60659-5203 - Phone
- (773) 508-9000
- Fax
- (773) 508-1796
- NPI assigned
- Apr 9, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 238000316 | IL | Primary |
Addresses
Primary practice location
2300 W Peterson Ave
Chicago, IL 60659-5203
Mailing address
2320 W Peterson Ave FL 2
Chicago, IL 60659-5244
Phone (773) 508-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238000316 | IL | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397001600000",
"number": "1437578168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 W PETERSON AVE FL 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606595244",
"telephone_number": "773-508-9000",
"fax_number": "773-508-1796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 W PETERSON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606595203",
"telephone_number": "773-508-9000",
"fax_number": "773-508-1796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAGIURI",
"first_name": "OSAMA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-09",
"last_updated": "2014-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "IL",
"license": "238000316",
"primary": true
}
],
"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 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.