NPIMap

Organization Active NPI

Selvaraj Ophthalmology LLC

  • Specialist
  • Chicago, IL
National Provider Identifier
1750683892
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SELVARAJ OPHTHALMOLOGY LLC
Practice address
111 N Wabash Ave
Suite 1610
Chicago, IL 60602-1903
Phone
(312) 263-6350
Fax
(312) 332-6341
NPI assigned
Nov 22, 2010
Last updated
Feb 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Authorized official

Name
Dr. Prakash Selvaraj, M.D.NPI 1467454124
Title
Member
Phone
(630) 759-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

111 N Wabash Ave
Suite 1610
Chicago, IL 60602-1903

Mailing address

111 N Wabash Ave
Suite 1610
Chicago, IL 60602-1903
Phone (312) 263-6350

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1750683892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE",
            "address_2": "SUITE 1610",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021903",
            "telephone_number": "312-263-6350",
            "fax_number": "312-332-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE",
            "address_2": "SUITE 1610",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021903",
            "telephone_number": "312-263-6350",
            "fax_number": "312-332-6341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELVARAJ OPHTHALMOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "SELVARAJ",
        "authorized_official_first_name": "PRAKASH",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "630-759-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "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 Feb 14, 2011; 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.