NPIMap

Organization Active NPI

Chhablani and Sheridan, S.C.

  • Specialist
  • Chicago, IL
National Provider Identifier
1780866186
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0360 29419
Legal business name
CHHABLANI AND SHERIDAN, S.C.
Practice address
2800 S Ellis Ave
Chicago, IL 60616-2907
Phone
(630) 920-1601
Fax
(630) 455-1806
NPI assigned
Nov 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Dr. Joseph T. Sheridan, M.D.
Title
President
Phone
(630) 920-1601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0360 29419 Primary

Addresses

Primary practice location

2800 S Ellis Ave
Chicago, IL 60616-2907

Mailing address

2800 S Ellis Ave
Chicago, IL 60616-2907
Phone (630) 920-1601

National Provider Directory

National Provider Directory

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": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1780866186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S ELLIS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162907",
            "telephone_number": "630-920-1601",
            "fax_number": "630-455-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S ELLIS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162907",
            "telephone_number": "630-920-1601",
            "fax_number": "630-455-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHHABLANI AND SHERIDAN, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-28",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "SHERIDAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-920-1601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": "0360 29419",
            "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 May 2, 2008; 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.