Active NPI
Emergency Medical Medicine
- Intermediate Emergency Medical Technician
- Evanston, IL
National Provider Identifier
1649629288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intermediate Emergency Medical Technician
- License
- 209012220
- Legal business name
- EMERGENCY MEDICAL MEDICINE
- Practice address
- 2530 Crawford Ave Ste 307
Evanston, IL 60201-4972 - Phone
- (773) 995-3000
- NPI assigned
- Jun 5, 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
- Tunji Ladipo, MD
- Title
- Director
- Phone
- (773) 995-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intermediate Emergency Medical Technician | 146M00000X | 209012220 | IL | Primary |
Addresses
Primary practice location
2530 Crawford Ave Ste 307
Evanston, IL 60201-4972
Mailing address
7411 S Ingleside Ave
Chicago, IL 60619-2033
Phone (773) 574-7263
National Provider Directory
National Provider DirectoryLocations
2530 Crawford Ave
Ste 307
Evanston, IL 60201
Phone (773) 995-3000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Chicago, IL
- NPI 1841640711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465084800000",
"number": "1649629288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7411 S INGLESIDE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606192033",
"telephone_number": "773-574-7263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2530 CRAWFORD AVE STE 307",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602014972",
"telephone_number": "773-995-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERGENCY MEDICAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-05",
"last_updated": "2016-06-05",
"status": "A",
"authorized_official_last_name": "LADIPO",
"authorized_official_first_name": "TUNJI",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "773-995-3000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "146M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Intermediate",
"state": "IL",
"license": "209012220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evanston, IL
- Cary Leonard Emard Klemmer, PH.D., LCSW
- Embodied Healing Counseling and Yoga
- Embodied Practice Therapy, PLLC
- James Embrescia, D.O.
- Emelia M. Karkazis, D.D.S., M.S., PLLC
- Emerging Pathways Counseling PLLC
- Amanda Sue Emerson, LCSW
- Emily N Halliday (Compassionate Counseling)
- Neelmini Emmanuel, MD
- Endeavor Health Clinical Operations (Evanston Hospital Outpatient Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.