Individual provider Active NPI

Sylvia Duby, M.D.

  • Rheumatology Physician
  • Evanston, IL
National Provider Identifier
1780659227
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
036076406 Issued in IL
Practice address
2500 Ridge Ave
Ste 211
Evanston, IL 60201-2475
Phone
(847) 869-1400
NPI assigned
Feb 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 036076406 IL Primary

Addresses

Primary practice location

2500 Ridge Ave
Ste 211
Evanston, IL 60201-2475

Mailing address

2500 Ridge Ave
Ste 211
Evanston, IL 60201-2475
Phone (847) 869-1400

Other identifiers 2

IdentifierTypeStateIssuer
0031602835OtherBCBS PROVIDER NUMBER
036076406OtherILLICENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050714000751 IL Practitioner - Rheumatology 8123054707 Practice locations: Evanston, IL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036076406ILMDRheumatology Physician

Interoperability endpoints

  • Direct secure messaging: sylvia.duby.1@13465.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455840000000",
    "number": "1780659227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 RIDGE AVE",
            "address_2": "STE 211",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012475",
            "telephone_number": "847-869-1400",
            "fax_number": "847-869-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 RIDGE AVE",
            "address_2": "STE 211",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602012475",
            "telephone_number": "847-869-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBY",
        "first_name": "SYLVIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2016-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036076406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "0031602835",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE",
            "identifier": "036076406",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.