Organization Active NPI

Nothwestern Reproductive Genetics

  • Ph.D. Medical Genetics Physician
  • Chicago, IL
National Provider Identifier
1588748404
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical Genetics PhysicianTaxonomy code 207SG0205X
Legal business name
NOTHWESTERN REPRODUCTIVE GENETICS
Practice address
680 N Lake Shore Dr
Ste 1428
Chicago, IL 60611-4546
Phone
(312) 981-4400
NPI assigned
Oct 25, 2006
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Eugene Pergament, M.D.
Title
Pysician
Phone
(847) 429-0571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ph.D. Medical Genetics Physician 207SG0205X NU Primary

Addresses

Primary practice location

680 N Lake Shore Dr
Ste 1428
Chicago, IL 60611-4546

Mailing address

680 N Lake Shore Dr
Chicago, IL 60611-4546
Phone (312) 981-4400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1588748404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546",
            "telephone_number": "312-981-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR",
            "address_2": "STE 1428",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546",
            "telephone_number": "312-981-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOTHWESTERN REPRODUCTIVE GENETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "PERGAMENT",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "PYSICIAN",
        "authorized_official_telephone_number": "847-429-0571",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207SG0205X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "NU",
            "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 Jun 21, 2018; 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.