Active NPI
Id Chicago Inc
- Optometrist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046 8255
- Legal business name
- ID CHICAGO INC
- Practice address
- 3337 N Halsted St
Chicago, IL 60657-2694 - Phone
- (773) 755-4343
- NPI assigned
- Dec 7, 2010
- Last updated
- Dec 7, 2010
- 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. Gregory J Artim, O.D.
- Title
- Optometrist
- Phone
- (773) 755-4343
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046 8255 | IL | Primary |
Addresses
Primary practice location
3337 N Halsted St
Chicago, IL 60657-2694
Mailing address
3337 N Halsted St
Chicago, IL 60657-2694
Phone (773) 755-4343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780739862 | Other | IL | PERSONAL NPI NUMBER |
National Provider Directory
National Provider Directory- Tax ID family
- Id Chicago Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Chicago, IL
- NPI 1962704841
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Optometrist
- Chicago, IL
- NPI 1780739862
-
- Optometrist
- MPLS, MN
- NPI 1861747305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291680000000",
"number": "1629371067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3337 N HALSTED ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606572694",
"telephone_number": "773-755-4343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3337 N HALSTED ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606572694",
"telephone_number": "773-755-4343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ID CHICAGO INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-07",
"last_updated": "2010-12-07",
"status": "A",
"authorized_official_last_name": "ARTIM",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "773-755-4343",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046 8255",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL NPI NUMBER",
"identifier": "1780739862",
"state": "IL"
}
],
"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 Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.