Organization Active NPI

Claudia Welke MD LLC

  • Psychiatry Physician
  • Northbrook, IL
National Provider Identifier
1588959589
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
CLAUDIA WELKE MD LLC
Practice address
60 Revere Dr
Suite 100
Northbrook, IL 60062-1563
Phone
(224) 306-1879
Fax
(224) 306-1878
NPI assigned
Jun 17, 2011
Last updated
Apr 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Authorized official

Name
Dr. Claudia Welke, MDNPI 1578589750
Title
Owner
Phone
(224) 306-1879

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary
Child & Adolescent Psychiatry Physician 2084P0804X NU

Addresses

Primary practice location

60 Revere Dr
Suite 100
Northbrook, IL 60062-1563

Mailing address

60 Revere Dr
Suite 100
Northbrook, IL 60062-1563
Phone (224) 306-1879

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1588959589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 REVERE DR",
            "address_2": "SUITE 100",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621563",
            "telephone_number": "224-306-1879",
            "fax_number": "224-306-1878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 REVERE DR",
            "address_2": "SUITE 100",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621563",
            "telephone_number": "224-306-1879",
            "fax_number": "224-306-1878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAUDIA WELKE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "WELKE",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-306-1879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.

Verify at the official NPI Registry.