Organization Active NPI

Eugene Pergament M.D.,P.C.

  • Molecular Genetic Pathology (Medical Genetics) Physician
  • Chicago, IL
National Provider Identifier
1942425970
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Molecular Genetic Pathology (Medical Genetics) PhysicianTaxonomy code 207SM0001X
Legal business name
EUGENE PERGAMENT M.D.,P.C.
Practice address
680 N Lake Shore Dr Ste 1230
Chicago, IL 60611-4411
Phone
(312) 981-4401
NPI assigned
Apr 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Tracy A Rady, CPC
Title
Billing
Phone
(847) 429-0571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Molecular Genetic Pathology (Medical Genetics) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207SM0001X IL Primary

Addresses

Primary practice location

680 N Lake Shore Dr Ste 1230
Chicago, IL 60611-4411

Mailing address

680 N Lake Shore Dr Ste 1230
Chicago, IL 60611-4411
Phone (312) 981-4401

Other identifiers 1

IdentifierTypeStateIssuer
01627910OtherILBCBS

National Provider Directory

National Provider Directory

Locations

680 N Lake Shore Dr
Ste 1230
Chicago, IL 60611
Phone (312) 981-4400

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942425970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR STE 1230",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114411",
            "telephone_number": "312-981-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR STE 1230",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114411",
            "telephone_number": "312-981-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE PERGAMENT M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RADY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "847-429-0571",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207SM0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Medical Genetics, Molecular Genetic Pathology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01627910",
            "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 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.