Edward Stuart Charlip

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

036044376 Issued in IL

Practice address

141 W Jackson Blvd
Ste 2270
Chicago, IL 60604-2929

Phone

(312) 543-9983

Fax

(312) 341-7963

NPI assigned

Feb 20, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445212800000",
    "number": "1649410325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 W JACKSON BLVD STE 2270",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606042979",
            "telephone_number": "312-543-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 W JACKSON BLVD",
            "address_2": "STE 2270",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606042929",
            "telephone_number": "312-543-9983",
            "fax_number": "312-341-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLIP",
        "first_name": "EDWARD",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-20",
        "last_updated": "2015-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036044376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha R. Charles, DNP-C
• Sarah Charles, LCSW
• Gomez Charleston, MD
• Mary Charleton, MD
• Dale Anthony Charletta, MD
• Rose Jovin Charlley
• Dona Charlot
• Charlotte M. Covello, DPM,LLC
• Michael Charlton
• Charm ABA Collaborative LLC

• General Practice Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.