Organization Active NPI

Emergency Medical Medicine

  • Intermediate Emergency Medical Technician
  • Evanston, IL
National Provider Identifier
1649629288
Registry record updated Jun 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intermediate Emergency Medical TechnicianTaxonomy code 146M00000X
License
209012220 Issued in IL
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

Updated by the provider on Jun 5, 2016

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)CodeLicenseStatePrimary
Intermediate Emergency Medical TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.