Paul Blair Odland, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Practice address

1150 W Fullerton Ave
2ND FLR
Chicago, IL 60614-8160

Phone

(773) 549-7757

Fax

(773) 549-1221

NPI assigned

Aug 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1760596464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 W FULLERTON AVE",
            "address_2": "2ND FLR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606148160",
            "telephone_number": "773-549-7757",
            "fax_number": "773-549-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 W FULLERTON AVE",
            "address_2": "2ND FLR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606148160",
            "telephone_number": "773-549-7757",
            "fax_number": "773-549-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODLAND",
        "first_name": "PAUL",
        "middle_name": "BLAIR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Odgers, PA-C
• Edward Odicho, PHARM.D
• Alksander Spanya Odisho, D.C.
• Ramel Odisho, DMD
• Sargon Benjamin Odisho, D.C.
• Samuel Michael Odoi, MD
• Okechi Odoka, APRN, CNP
• Reginald Odom, DDS
• Vicki Odom, RN
• Stephen M Odon, DNP, APRNC-AG

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.