Organization Active NPI

Carmen a. Sierra M.D.,S.C.

  • Specialist
  • Chicago, IL
National Provider Identifier
1780870832
Registry record updated Sep 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CARMEN A. SIERRA M.D.,S.C.
Practice address
1349 N Western Ave
Chicago, IL 60622-8316
Phone
(773) 384-8584
Fax
(773) 661-0921
NPI assigned
Sep 22, 2007
Last updated
Sep 22, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2007

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

Authorized official

Name
Dr. Carmen Ana Sierra, M.D.NPI 1811949415
Title
President
Phone
(773) 384-8584

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X IL Primary

Addresses

Primary practice location

1349 N Western Ave
Chicago, IL 60622-8316

Mailing address

1349 N Western Ave
Chicago, IL 60622-8316
Phone (773) 384-8584

National Provider Directory

National Provider Directory

Locations

1431 N Western Ave
Ste 508
Chicago, IL 60622
Phone (773) 384-8584

Practitioners & affiliated clinicians

Practitioners 2

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": "1190419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190419200000",
    "number": "1780870832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228316",
            "telephone_number": "773-384-8584",
            "fax_number": "773-661-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 N WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228316",
            "telephone_number": "773-384-8584",
            "fax_number": "773-661-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMEN A. SIERRA M.D.,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-22",
        "last_updated": "2007-09-22",
        "status": "A",
        "authorized_official_last_name": "SIERRA",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "ANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-384-8584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "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 Sep 22, 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.