Active NPI
Ariel David, M.D., S.C.
- Psychiatry Physician
- Chicago, IL
National Provider Identifier
1902924160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036044578
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036044578 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
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.