NPIMap

Organization Active NPI

Josip Pasic MD SC

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1659631844
Registry record updated Jul 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036050621 Issued in IL
Legal business name
JOSIP PASIC MD SC
Practice address
5510 N Sheridan Rd
Apt. 7a
Chicago, IL 60640-1633
Phone
(773) 728-6805
NPI assigned
May 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2012

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

Authorized official

Name
Josip Pasic, MD
Title
Owner
Phone
(773) 728-6805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 036050621 IL Primary

Addresses

Primary practice location

5510 N Sheridan Rd
Apt. 7a
Chicago, IL 60640-1633

Mailing address

5510 N Sheridan Rd
Apt. 7a
Chicago, IL 60640-1633
Phone (773) 728-6805

Other identifiers 1

IdentifierTypeStateIssuer
036050621MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341619200000",
    "number": "1659631844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 N SHERIDAN RD",
            "address_2": "APT. 7A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401633",
            "telephone_number": "773-728-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 N SHERIDAN RD",
            "address_2": "APT. 7A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401633",
            "telephone_number": "773-728-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSIP PASIC MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-07-07",
        "status": "A",
        "authorized_official_last_name": "PASIC",
        "authorized_official_first_name": "JOSIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-728-6805",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036050621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036050621",
            "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 Jul 7, 2012; 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.