Organization Active NPI

Ariel David, M.D., S.C.

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1902924160
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036044578 Issued in IL
Legal business name
ARIEL DAVID, M.D., S.C.
Practice address
2502 N Clark St
#8215
Chicago, IL 60614-1850
Phone
(773) 935-5335
Fax
(773) 929-3463
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2008

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

Authorized official

Name
Ariel David
Title
Owner
Phone
(773) 935-5335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 036044578 IL Primary

Addresses

Primary practice location

2502 N Clark St
#8215
Chicago, IL 60614-1850

Mailing address

2500 N Lakeview Ave
Chicago, IL 60614-1846
Phone (773) 935-5335

Other identifiers 1

IdentifierTypeStateIssuer
036044578MedicaidIL

National Provider Directory

National Provider Directory

Locations

2502 N Clark St
Unit 215
Chicago, IL 60614
Phone (773) 935-5335

2502 N Clark St
Ste 215
Chicago, IL 60614
Phone (773) 935-5335

2500 N Lakeview Ave
Chicago, IL 60614
Phone (312) 278-3036

2502 N Clark St
#8215
Chicago, IL 60614
Phone (773) 935-5335

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211500800000",
    "number": "1902924160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N LAKEVIEW AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141846",
            "telephone_number": "773-935-5335",
            "fax_number": "773-929-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 N CLARK ST",
            "address_2": "#8215",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141850",
            "telephone_number": "773-935-5335",
            "fax_number": "773-929-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIEL DAVID, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-05-23",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "ARIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-935-5335"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036044578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036044578",
            "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 May 23, 2008; 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.