Sme Pathologists SC – Cytopathology Physician

Key facts

NPI: 1487736252
Entity type: Organization (NPI type 2)
Primary specialty: Cytopathology Physician 207ZC0500X
Legal business name: SME PATHOLOGISTS SC
Practice address: 2233 W Division St
Chicago, IL 60622-3043
Phone: (815) 756-1521
NPI assigned: Oct 20, 2006
Organization subpart: No

Authorized official

Name: Sagul Tonsiengsom
Title: President
Phone: (630) 202-3134

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Mallikarjuna Anne, MD Cytopathology Physician · Chicago, IL · NPI 1548356678

NPD (past) CYTOPATHOLOGY
Valeriano Guzman, MD Clinical Pathology/Laboratory Medicine Physician · Berwyn, IL · NPI 1093744740

NPD (past)
Mohamad H Alsabban, M.D. Cytopathology Physician · Dededo, GU · NPI 1942226790

NPD (past) CYTOPATHOLOGY

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Cytopathology Physician Group: 193400000X SINGLE SPECIALTY GROUP	207ZC0500X			Yes

Addresses

Primary practice location

2233 W Division St
Chicago, IL 60622-3043

Mailing address

PO Box 3133
Indianapolis, IN 46206-3133

Other identifiers

Identifier	Type	State	Issuer
01634127	Other	IL	BCBS IL
DB8469	Other		RAILROAD MEDICARE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 24, 2014.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1487736252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3133",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462063133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223043",
            "telephone_number": "815-756-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SME PATHOLOGISTS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "TONSIENGSOM",
        "authorized_official_first_name": "SAGUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-202-3134"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Cytopathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "01634127",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB8469",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

All providers in Chicago, IL · Cytopathology Physician in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.