Active NPI
Kirkor Vahe Karachorlu MD LTD
- Anatomic Pathology & Clinical Pathology Physician
- Chicago, IL
National Provider Identifier
1457567539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 036044607
- Legal business name
- KIRKOR VAHE KARACHORLU MD LTD
- Practice address
- 326 W 64TH St
Chicago, IL 60621-3114 - Phone
- (773) 962-4428
- NPI assigned
- May 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kirkor V Karachorlu, MD
- Title
- President
- Phone
- (773) 962-4428
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036044607 | IL | Primary |
Addresses
Primary practice location
326 W 64TH St
Chicago, IL 60621-3114
Mailing address
PO Box 2910
Indianapolis, IN 46206-2910
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2360243 | Medicaid | OH | |
| 200334830 | Medicaid | IN | |
| 220001770 | Other | IL | RR MEDICARE |
| 036044607 | Medicaid | IL | |
| 01638869 | Other | IL | ANTHEM BCBS OF IL |
| 80997400 | Medicaid | WI | |
| 031600704 | Other | IL | BCBS IL |
| 198437300 | Medicaid | MN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212537600000",
"number": "1457567539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2910",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462062910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 W 64TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606213114",
"telephone_number": "773-962-4428"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIRKOR VAHE KARACHORLU MD LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-15",
"last_updated": "2008-06-04",
"status": "A",
"authorized_official_last_name": "KARACHORLU",
"authorized_official_first_name": "KIRKOR",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-962-4428",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "036044607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2360243",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200334830",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "220001770",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036044607",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS OF IL",
"identifier": "01638869",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80997400",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IL",
"identifier": "031600704",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "198437300",
"state": "MN"
}
],
"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 Jun 4, 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.