Organization Active NPI

Tahir Niazi, MD SC

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1669590063
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036087267 Issued in IL
Legal business name
TAHIR NIAZI, MD SC
Practice address
6020 W Diversey Ave
Chicago, IL 60639-1108
Phone
(773) 237-5544
Fax
(773) 889-0883
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2013

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

Authorized official

Name
Dr. Tahir Niazi, MD
Title
President
Phone
(773) 237-5544

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 036087267 IL Primary

Addresses

Primary practice location

6020 W Diversey Ave
Chicago, IL 60639-1108

Mailing address

6020 W Diversey Ave
Chicago, IL 60639-1108
Phone (773) 237-5544

National Provider Directory

National Provider Directory

Locations

6020 W Diversey Ave
Chicago, IL 60639
Phone (773) 237-0707

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359504000000",
    "number": "1669590063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 W DIVERSEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606391108",
            "telephone_number": "773-237-5544",
            "fax_number": "773-889-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 W DIVERSEY AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606391108",
            "telephone_number": "773-237-5544",
            "fax_number": "773-889-0883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHIR NIAZI, MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2013-01-30",
        "status": "A",
        "authorized_official_last_name": "NIAZI",
        "authorized_official_first_name": "TAHIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-237-5544",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036087267",
            "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 Jan 30, 2013; 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.