Active NPI
Susan Haido, MD PC
- Family Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SUSAN HAIDO, MD PC
- Practice address
- 5140 N. California Ave.
Suite #620
Chicago, IL 60625 - Phone
- (773) 275-8200
- Fax
- (773) 275-8555
- NPI assigned
- Mar 5, 2012
- Last updated
- Mar 5, 2012
- 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
- Susan Haido, M.D.
- Title
- Physician
- Phone
- (773) 275-8200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IL | Primary |
Addresses
Primary practice location
5140 N. California Ave.
Suite #620
Chicago, IL 60625
Mailing address
5140 N. California Ave.
Suite #620
Chicago, IL 60625
Phone (773) 275-8200
National Provider Directory
National Provider DirectoryLocations
5140 N California Ave
Ste 620
Chicago, IL 60625
Phone (312) 952-9692
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Chicago, IL
- NPI 1285715136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1330905600000",
"number": "1851665178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5140 N. CALIFORNIA AVE.",
"address_2": "SUITE #620",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60625",
"telephone_number": "773-275-8200",
"fax_number": "773-275-8555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5140 N. CALIFORNIA AVE.",
"address_2": "SUITE #620",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60625",
"telephone_number": "773-275-8200",
"fax_number": "773-275-8555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN HAIDO, MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-03-05",
"last_updated": "2012-03-05",
"status": "A",
"authorized_official_last_name": "HAIDO",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "773-275-8200",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"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 Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.