Organization Active NPI

David D Deutsch MD PC LTD

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1568765360
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
DAVID D DEUTSCH MD PC LTD
Practice address
4646 N Marine Dr
Suite #B5000
Chicago, IL 60640-5759
Phone
(773) 564-5430
Fax
(773) 564-5431
NPI assigned
Dec 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Authorized official

Name
Mary Hwee
Title
Manager
Phone
(773) 564-5430

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

4646 N Marine Dr
Suite #B5000
Chicago, IL 60640-5759

Mailing address

1215 W Lexington St
Unit L
Chicago, IL 60607-4169
Phone (773) 564-5430

Other identifiers 1

IdentifierTypeStateIssuer
036061403MedicaidIL

National Provider Directory

National Provider Directory

Locations

4646 N Marine Dr
Ste B5000
Chicago, IL 60640
Phone (773) 564-5430

NPI Registry JSON

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

{
    "created_epoch": "1292457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1568765360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 W LEXINGTON ST",
            "address_2": "UNIT L",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074169",
            "telephone_number": "773-564-5430",
            "fax_number": "773-564-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 N MARINE DR",
            "address_2": "SUITE #B5000",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405759",
            "telephone_number": "773-564-5430",
            "fax_number": "773-564-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID D DEUTSCH MD PC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-16",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "HWEE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-564-5430"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036061403",
            "state": "IL"
        }
    ],
    "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 Dec 16, 2010; 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.