NPIMap

Organization Active NPI

Chicago Depression and Anxiety Specialists, SC

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1861632192
Registry record updated Feb 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
042619464036076721 Issued in IL
Legal business name
CHICAGO DEPRESSION AND ANXIETY SPECIALISTS, SC
Practice address
330 W Diversey Pkwy Apt 2707
Chicago, IL 60657-6209
Phone
(312) 985-4431
NPI assigned
Feb 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2009

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

Authorized official

Name
Dr. William S Gilmer, M.D.
Title
President
Phone
(312) 895-4431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 042619464036076721 IL Primary

Addresses

Primary practice location

330 W Diversey Pkwy Apt 2707
Chicago, IL 60657-6209

Mailing address

330 W Diversey Pkwy Apt 2707
Chicago, IL 60657-6209
Phone (312) 985-4431

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235606400000",
    "number": "1861632192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W DIVERSEY PKWY APT 2707",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576209",
            "telephone_number": "312-985-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W DIVERSEY PKWY APT 2707",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576209",
            "telephone_number": "312-985-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO DEPRESSION AND ANXIETY SPECIALISTS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-26",
        "last_updated": "2009-02-26",
        "status": "A",
        "authorized_official_last_name": "GILMER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-895-4431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "042619464036076721",
            "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 Feb 26, 2009; 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.