Active NPI
Suzanne Greider Enterprises MD, PC
- Internal Medicine Physician
- Evanston, IL
National Provider Identifier
1457640468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryLocations
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.