Active NPI
Brittany Radcliffe, M.D.
- Pediatrics Physician
- Chicago, IL
National Provider Identifier
1578883591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 125058275
- Practice address
- 1645 W Jackson Blvd
Suite 200
Chicago, IL 60612-3276 - Phone
- (312) 942-2232
- NPI assigned
- Jun 2, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 125058275 | IL | Primary |
Addresses
Primary practice location
1645 W Jackson Blvd
Suite 200
Chicago, IL 60612-3276
Mailing address
1653 W. Congress
Chicago, IL 60612
Phone (312) 942-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125058275 | IL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389916800000",
"number": "1578883591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1653 W. CONGRESS",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-942-5000",
"fax_number": "312-942-2243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1645 W JACKSON BLVD",
"address_2": "SUITE 200",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123276",
"telephone_number": "312-942-2232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADCLIFFE",
"first_name": "BRITTANY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-02",
"last_updated": "2014-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "125058275",
"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 Jan 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.