Active NPI
Susan E. Pearlson, M.D., P.C.
- Psychiatry Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036107647
- Legal business name
- SUSAN E. PEARLSON, M.D., P.C.
- Practice address
- 645 N Michigan Ave
Suite 803
Chicago, IL 60611-2826 - Phone
- (773) 531-3427
- NPI assigned
- Dec 10, 2009
- Last updated
- Jan 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Susan E. Pearlson, M.D.
- Title
- President
- Phone
- (773) 531-3427
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036107647 | IL | Primary |
Addresses
Primary practice location
645 N Michigan Ave
Suite 803
Chicago, IL 60611-2826
Mailing address
645 N Michigan Ave
Suite 803
Chicago, IL 60611-2826
Phone (773) 531-3427
Other names 1
- Susan E. Pearlson, M.D., P.A.
National Provider Directory
National Provider DirectoryLocations
645 N Michigan Ave
Ste 803
Chicago, IL 60611
Phone (312) 612-0444
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.
-
- Psychiatry Physician
- Chicago, IL
- NPI 1972641934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389744000000",
"number": "1629307269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 N MICHIGAN AVE",
"address_2": "SUITE 803",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112826",
"telephone_number": "773-531-3427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 N MICHIGAN AVE",
"address_2": "SUITE 803",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112826",
"telephone_number": "773-531-3427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN E. PEARLSON, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-10",
"last_updated": "2014-01-15",
"status": "A",
"authorized_official_last_name": "PEARLSON",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-531-3427",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036107647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Susan E. Pearlson, M.D., P.A.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 15, 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.