Organization Active NPI

Linas a Sidrys

  • Ophthalmology Physician
  • Chicago Ridge, IL
National Provider Identifier
1851616171
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
LINAS A SIDRYS
Practice address
5850 W 111TH St
Chicago Ridge, IL 60415-2220
Phone
(708) 626-6622
NPI assigned
Mar 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Authorized official

Name
Linas A Sidrys, MD
Title
Owner
Phone
(708) 636-6622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

5850 W 111TH St
Chicago Ridge, IL 60415-2220

Mailing address

5850 W 111TH St
Chicago Ridge, IL 60415-2220
Phone (708) 626-6622

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1851616171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5850 W 111TH ST",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152220",
            "telephone_number": "708-626-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5850 W 111TH ST",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152220",
            "telephone_number": "708-626-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINAS A SIDRYS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "SIDRYS",
        "authorized_official_first_name": "LINAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-636-6622",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.