Individual provider Active NPI

Christopher Donohoe, M.D.

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1760494454
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036110148 Issued in IL
Practice address
3916 N Damen Ave
Chicago, IL 60618
Phone
(773) 644-1362
Fax
(773) 828-4849
NPI assigned
Aug 12, 2006
Last updated
Jul 3, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036110148 IL Primary

Addresses

Primary practice location

3916 N Damen Ave
Chicago, IL 60618

Mailing address

3916 N Damen Ave
Chicago, IL 60618-3067
Phone (773) 644-1362

Other practice location 1

4050 N Lincoln Ave
Business Suite #2
Chicago, IL 60618-3067
Phone (773) 644-1362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036110148ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Donohoe Pediatrics LTD. Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: christopher.donohoe@34065646485508.direct.elationemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1760494454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183067",
            "telephone_number": "773-644-1362",
            "fax_number": "773-828-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60618",
            "telephone_number": "773-644-1362",
            "fax_number": "773-828-4849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4050 N Lincoln Ave",
            "address_2": "Business Suite #2",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606183067",
            "country_code": "US",
            "telephone_number": "773-644-1362",
            "fax_number": "773-828-4849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONOHOE",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036110148",
            "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 Jul 3, 2018; 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.