Active NPI
Andrew P Szpur
- School Psychologist
- Chicago, IL
National Provider Identifier
1811401433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 11242 S Longwood Dr
Chicago, IL 60643-4126 - Phone
- (773) 708-7440
- NPI assigned
- Nov 17, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
11242 S Longwood Dr
Chicago, IL 60643-4126
Mailing address
11242 S Longwood Dr
Chicago, IL 60643-4126
Phone (773) 708-7440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2021524 | Other | IL | ISBE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510876800000",
"number": "1811401433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11242 S LONGWOOD DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606434126",
"telephone_number": "773-708-7440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11242 S LONGWOOD DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606434126",
"telephone_number": "773-708-7440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZPUR",
"first_name": "ANDREW",
"middle_name": "P",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-17",
"last_updated": "2017-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ISBE",
"identifier": "2021524",
"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 Nov 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.