Organization Active NPI

Suzanne Greider Enterprises MD, PC

  • Internal Medicine Physician
  • Evanston, IL
National Provider Identifier
1457640468
Registry record updated Mar 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SUZANNE GREIDER ENTERPRISES MD, PC
Practice address
800 Austin St
Ste 311 West Tower
Evanston, IL 60202-3439
Phone
(847) 869-5480
Fax
(847) 869-5487
NPI assigned
Mar 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2011

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

Authorized official

Name
Suzanne Greider, MD
Title
Owner
Phone
(847) 869-5480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

800 Austin St
Ste 311 West Tower
Evanston, IL 60202-3439

Mailing address

800 Austin St
Ste 311 West Tower
Evanston, IL 60202-3439
Phone (847) 869-5480

National Provider Directory

National Provider Directory

Locations

800 Austin St
Ste 311
Evanston, IL 60202
Phone (847) 869-5480

800 Austin St
Ste 311W
Evanston, IL 60202
Phone (847) 869-5480

NPI Registry JSON

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301443200000",
    "number": "1457640468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "address_2": "STE 311 WEST TOWER",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023439",
            "telephone_number": "847-869-5480",
            "fax_number": "847-869-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "address_2": "STE 311 WEST TOWER",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023439",
            "telephone_number": "847-869-5480",
            "fax_number": "847-869-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE GREIDER ENTERPRISES MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-03-30",
        "status": "A",
        "authorized_official_last_name": "GREIDER",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-869-5480",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.