Active NPI
Ravindranath K Sansguiri MD SC
- Obstetrics & Gynecology Physician
- Chicago, IL
National Provider Identifier
1801991443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 036048838
- Legal business name
- RAVINDRANATH K SANSGUIRI MD SC
- Practice address
- 2875 W 19TH St
Chicago, IL 60623-3501 - Phone
- (773) 484-1000
- NPI assigned
- Sep 14, 2006
- Last updated
- May 4, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ravindranath K Sansguiri, MD
- Title
- MD
- Phone
- (630) 323-2010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 036048838 | IL | Primary |
Addresses
Primary practice location
2875 W 19TH St
Chicago, IL 60623-3501
Mailing address
8180 Lake Ridge Dr
Burr Ridge, IL 60527-5975
Phone (630) 323-2010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036048838 | Medicaid | IL | |
| 21605992 | Other | IL | BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1272931200000",
"number": "1801991443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8180 LAKE RIDGE DR",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605275975",
"telephone_number": "630-323-2010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2875 W 19TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606233501",
"telephone_number": "773-484-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAVINDRANATH K SANSGUIRI MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-14",
"last_updated": "2010-05-04",
"status": "A",
"authorized_official_last_name": "SANSGUIRI",
"authorized_official_first_name": "RAVINDRANATH",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "630-323-2010",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IL",
"license": "036048838",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036048838",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "21605992",
"state": "IL"
}
],
"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 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.