Peaklifemd, S.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036128875 Issued in IL

Legal business name

PEAKLIFEMD, S.C.

Practice address

1603 Orrington Ave
Suite 600
Evanston, IL 60201-3841

Phone

(847) 946-0855

NPI assigned

Apr 2, 2014

Organization subpart

No

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

Authorized official

Name

Utpal Dhruve, M.D.

Title

President

Phone

(847) 946-0855

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1942628383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W OHIO ST",
            "address_2": "UNIT 2007",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606547963",
            "telephone_number": "847-946-0855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 ORRINGTON AVE",
            "address_2": "SUITE 600",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602013841",
            "telephone_number": "847-946-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAKLIFEMD, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-02",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "DHRUVE",
        "authorized_official_first_name": "UTPAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-946-0855",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036128875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystyna Pawelczyk
• Claudia Andrea Paya Ten, MD
• Pdanpc
• Pdaspc
• Peace of Mind Senior Care, Inc.
• Pearl of Evanston, LLC
• Michael K Pearlman, MD
• Victoria Pearlman, OTR/L
• A Tereau Pearson, D.M.D.
• Garrison F Pease, M.D.

• Psychiatry Physician in Evanston, IL
• Providers in Evanston, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.