Active NPI
Edgar G. Chedrawy, MD
- Surgery Physician
- Downers Grove, IL
National Provider Identifier
1629089495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 036088672
- Practice address
- 2650 Warrenville Rd
Suite 280
Downers Grove, IL 60515-1748 - Phone
- (630) 324-7900
- NPI assigned
- Aug 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 036088672 | IL | Primary |
| Vascular Surgery Physician | 2086S0129X | 036111934 | IL |
Addresses
Primary practice location
2650 Warrenville Rd
Suite 280
Downers Grove, IL 60515-1748
Mailing address
2740 W Foster Ave
LL7
Chicago, IL 60625
Phone (773) 878-8200
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 |
|---|---|---|---|
| 036088672 | IL | MD | Surgery Physician |
| 036111934 | IL | MD | Vascular Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Endeavor Health Medical Group | Past | Accepting new patients | |
| Endeavor Health Medical Group | Past | Accepting new patients | |
| Rush University Medical Center | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Chicago, IL
- NPI 1578571055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452556800000",
"number": "1629089495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2740 W FOSTER AVE",
"address_2": "LL7",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60625",
"telephone_number": "773-878-8200",
"fax_number": "773-293-4197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 WARRENVILLE RD",
"address_2": "SUITE 280",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151748",
"telephone_number": "630-324-7900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEDRAWY",
"first_name": "EDGAR",
"middle_name": "G.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2016-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036088672",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "IL",
"license": "036111934",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.