SC Mohan MD SC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036057255 Issued in IL

Legal business name

SC MOHAN MD SC

Practice address

4755 N Kenmore Ave
Chicago, IL 60640-5015

Phone

(773) 989-9868

Fax

(773) 751-2250

NPI assigned

Apr 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Sangarapillai Mohan, MD

Title

Chief Operating Officer

Phone

(773) 989-9868

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Grayson, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicago, IL
  • NPI 1841768660

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1790959872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SAINT FRANCIS CIR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232559",
            "telephone_number": "773-989-9868",
            "fax_number": "773-751-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 N KENMORE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405015",
            "telephone_number": "773-989-9868",
            "fax_number": "773-751-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SC MOHAN MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "MOHAN",
        "authorized_official_first_name": "SANGARAPILLAI",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "773-989-9868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036057255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036057255",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gene Sbalchiero, DDS
• Lugain Sbeih
• SBK Medical Inc
• Fabio Sbrana, MD
• SC Industries, LLC (MdHearingAid)
• Kelly Scafidi, LCSW
• Rosaria Scafidi
• Andrea Scaggs, MA, LPC, NCC
• Steven Joseph Scaglione, M.D.
• Jack H Scaife

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.