Organization Active NPI

Melvin C Bunn MD SC

  • Obstetrics & Gynecology Physician
  • Chicago, IL
National Provider Identifier
1902859481
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
MELVIN C BUNN MD SC
Practice address
7906 S Crandon Ave
Chicago, IL 60617-1146
Phone
(773) 978-3143
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Melvin C Bunn, MD
Title
Ceo
Phone
(773) 978-3143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X IL Primary

Addresses

Primary practice location

7906 S Crandon Ave
Chicago, IL 60617-1146

Mailing address

7906 S Crandon Ave
Chicago, IL 60617-1146
Phone (773) 978-3143

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902859481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7906 S CRANDON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606171146",
            "telephone_number": "773-978-3143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7906 S CRANDON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606171146",
            "telephone_number": "773-978-3143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELVIN C BUNN MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUNN",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-978-3143",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "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 Aug 22, 2020; 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.