NPIMap

Organization Active NPI

Allen M. Putterman, M.D., S.C.

  • Plastic and Reconstructive Surgery Physician
  • Chicago, IL
National Provider Identifier
1447448790
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
ALLEN M. PUTTERMAN, M.D., S.C.
Practice address
111 N Wabash Ave
Suite 1722
Chicago, IL 60602-1903
Phone
(312) 372-2256
Fax
(312) 372-1762
NPI assigned
Oct 11, 2007
Last updated
Dec 26, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Authorized official

Name
Dr. Allen M Putterman, M.D.NPI 1578563904
Title
President
Phone
(312) 372-2256

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X IL Primary

Addresses

Primary practice location

111 N Wabash Ave
Suite 1722
Chicago, IL 60602-1903

Mailing address

111 N Wabash Ave
Suite 1722
Chicago, IL 60602-1903
Phone (312) 372-2256

Other identifiers 1

IdentifierTypeStateIssuer
1615355OtherILBCBD PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

111 N Wabash Ave
Ste 1722
Chicago, IL 60602
Phone (312) 372-2256

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1447448790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE",
            "address_2": "SUITE 1722",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021903",
            "telephone_number": "312-372-2256",
            "fax_number": "312-372-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE",
            "address_2": "SUITE 1722",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021903",
            "telephone_number": "312-372-2256",
            "fax_number": "312-372-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN M. PUTTERMAN, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "PUTTERMAN",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-372-2256",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBD PROVIDER NUMBER",
            "identifier": "1615355",
            "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 Dec 26, 2007; 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.