Organization Active NPI

Robert O Isaacs, M D LTD

  • Cardiovascular Disease Physician
  • Chicago, IL
National Provider Identifier
1720305063
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036035961 Issued in IL
Legal business name
ROBERT O ISAACS, M D LTD
Practice address
2800 N Sheridan Road
Suite 303
Chicago, IL 60657-6156
Phone
(773) 348-0870
Fax
(773) 348-2658
NPI assigned
Apr 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Authorized official

Name
Mr. Robert O Isaacs, M D LTD
Title
President
Phone
(773) 348-0870

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 036035961 IL
Cardiovascular Disease PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RC0000X 036035961 IL Primary

Addresses

Primary practice location

2800 N Sheridan Road
Suite 303
Chicago, IL 60657-6156

Mailing address

2800 N Sheridan Road
Suite 303
Chicago, IL 60657-6156
Phone (773) 348-0870

Other identifiers 1

IdentifierTypeStateIssuer
036035961MedicaidIL

National Provider Directory

National Provider Directory

Locations

2800 N Sheridan Rd
Ste 303
Chicago, IL 60657
Phone (773) 281-7660

2800 N Sheridan Rd
#303
Chicago, IL 60657
Phone (773) 281-7660

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": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1720305063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N SHERIDAN ROAD",
            "address_2": "SUITE 303",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576156",
            "telephone_number": "773-348-0870",
            "fax_number": "773-348-2658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N SHERIDAN ROAD",
            "address_2": "SUITE 303",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576156",
            "telephone_number": "773-348-0870",
            "fax_number": "773-348-2658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT O ISAACS, M D LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "ISAACS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-348-0870",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M D LTD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036035961",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036035961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036035961",
            "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 Jun 25, 2010; 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.