NPIMap

Organization Active NPI

395061 Med Eval

  • Psychiatric Hospital Unit
  • Chicago, IL
National Provider Identifier
1508034414
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
395061 MED EVAL
Practice address
4200 North Oak Park Avenue
Chicago, IL 60634-1417
Phone
(773) 794-3733
Fax
(773) 794-4046
NPI assigned
Feb 13, 2008
Last updated
Feb 13, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
IDHS CHICAGO-READ MENTAL HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Ms. Angie C Tansor
Title
Reimbursement Officer I
Phone
(773) 794-3733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

4200 North Oak Park Avenue
Chicago, IL 60634-1417

Mailing address

4200 North Oak Park Avenue
Chicago, IL 60634-1417
Phone (773) 794-3733

National Provider Directory

National Provider Directory
Tax ID family
Elisabeth Ludeman Center292 organizations share this tax ID, including this one
Part of
Elisabeth Ludeman Center

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

4200 N Oak Park Ave
Chicago, IL 60634
Phone (773) 794-4000

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1508034414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 NORTH OAK PARK AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606341417",
            "telephone_number": "773-794-3733",
            "fax_number": "773-794-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 NORTH OAK PARK AVENUE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606341417",
            "telephone_number": "773-794-3733",
            "fax_number": "773-794-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "395061 MED EVAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IDHS CHICAGO-READ MENTAL HEALTH CENTER",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "TANSOR",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "REIMBURSEMENT OFFICER I",
        "authorized_official_telephone_number": "773-794-3733",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 13, 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.

Verify at the official NPI Registry.