NPIMap

Organization Active NPI

Jane Vernik MD, S.C.

  • Nephrology Physician
  • Chicago, IL
National Provider Identifier
1952551517
Registry record updated Sep 19, 2008
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Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
042619352 Issued in IL
Legal business name
JANE VERNIK MD, S.C.
Practice address
637 South Wood Street St 215
Division of Nephrology, Durand Building
Chicago, IL 60612
Phone
(312) 864-4612
Fax
(312) 864-9569
NPI assigned
Sep 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2008

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

Authorized official

Name
Jane Vernik, M.D.
Title
President
Phone
(224) 392-3704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X 042619352 IL Primary

Addresses

Primary practice location

637 South Wood Street St 215
Division of Nephrology, Durand Building
Chicago, IL 60612

Mailing address

4113 Florence Way
Glenview, IL 60025-5631
Phone (224) 392-3704

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221782400000",
    "number": "1952551517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4113 FLORENCE WAY",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600255631",
            "telephone_number": "224-392-3704",
            "fax_number": "847-375-8279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 SOUTH WOOD STREET ST 215",
            "address_2": "DIVISION OF NEPHROLOGY, DURAND BUILDING",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60612",
            "telephone_number": "312-864-4612",
            "fax_number": "312-864-9569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANE VERNIK MD, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2008-09-19",
        "status": "A",
        "authorized_official_last_name": "VERNIK",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-392-3704",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "042619352",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 19, 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.