Active NPI
Eugene Pergament M.D.,P.C.
- Molecular Genetic Pathology (Medical Genetics) Physician
- Chicago, IL
National Provider Identifier
1942425970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Molecular Genetic Pathology (Medical Genetics) Physician
- 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, 2020
- 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
- Tracy A Rady, CPC
- Title
- Billing
- Phone
- (847) 429-0571
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Molecular Genetic Pathology (Medical Genetics) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01627910 | Other | IL | BCBS |
National Provider Directory
National Provider DirectoryLocations
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.