Active NPI
Pranajaya
- Clinical Social Worker
- Chicago, IL
National Provider Identifier
1639627318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 149015827
- Legal business name
- PRANAJAYA
- Practice address
- 5115 N Ravenswood Ave
Second Floor
Chicago, IL 60640-2712 - Phone
- (773) 271-7909
- NPI assigned
- Sep 12, 2016
- 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
- Ron Pajak
- Title
- Director
- Phone
- (773) 271-7909
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 149015827 | IL | Primary |
Addresses
Primary practice location
5115 N Ravenswood Ave
Second Floor
Chicago, IL 60640-2712
Mailing address
5115 N Ravenswood Ave
Second Floor
Chicago, IL 60640-2712
Phone (773) 271-7909
National Provider Directory
National Provider DirectoryLocations
5115 N Ravenswood Ave
Fl Second
Chicago, IL 60640
Phone (773) 230-5109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473638400000",
"number": "1639627318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5115 N RAVENSWOOD AVE",
"address_2": "SECOND FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606402712",
"telephone_number": "773-271-7909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5115 N RAVENSWOOD AVE",
"address_2": "SECOND FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606402712",
"telephone_number": "773-271-7909"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRANAJAYA",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-12",
"last_updated": "2016-09-12",
"status": "A",
"authorized_official_last_name": "PAJAK",
"authorized_official_first_name": "RON",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "773-271-7909"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149015827",
"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 Sep 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.