Sargon Audisho

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

036132241 Issued in IL

Practice address

4143 N Claremont Ave
Apt 2
Chicago, IL 60618-2919

Phone

(312) 218-1204

NPI assigned

Jun 25, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Suburban Home Physicians,LLC

  • Internal Medicine Physician
  • Schaumburg, IL
  • NPI 1770722407
  NPD (past)

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1568690899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 E HIGGINS RD",
            "address_2": "SUITE 113A",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734799",
            "telephone_number": "224-653-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4143 N CLAREMONT AVE",
            "address_2": "APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606182919",
            "telephone_number": "312-218-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUDISHO",
        "first_name": "SARGON",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-25",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "IL",
            "license": "036132241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie-Laurie Auden, M.D.
• Jessica Audet, MD
• Audio Advantage AIDS
• Audionova LLC
• Audionova LLC
• Audra Kurth, LLC
• Audrey Adams Therapy, PLLC
• Audrey Forrest
• Audrius V. Plioplys, M.D., S.C.
• Elizabeth Auer, PH.D.

• Public Health & General Preventive Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Public Health & General Preventive Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.