Organization Active NPI

Eugenie B. Pabst, LLC

  • Health Service Psychologist
  • Chicago, IL
National Provider Identifier
1952553414
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
Legal business name
EUGENIE B. PABST, LLC
Practice address
1901 N Clybourn Ave
301
Chicago, IL 60614-5090
Phone
(773) 472-0560
NPI assigned
Oct 15, 2008
Last updated
Oct 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Authorized official

Name
Dr. Eugenie B. PabstNPI 1639321169
Title
President
Phone
(773) 472-0560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Psychologist 103TH0100X Primary

Addresses

Primary practice location

1901 N Clybourn Ave
301
Chicago, IL 60614-5090

Mailing address

1901 N Clybourn Ave
301
Chicago, IL 60614-5090
Phone (773) 472-0560

Other names 1

  • Eugenie B Pabst, LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1901 N Clybourn Ave
Ste 301
Chicago, IL 60614
Phone (312) 472-0560

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1224028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1952553414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 N CLYBOURN AVE",
            "address_2": "301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145090",
            "telephone_number": "773-472-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N CLYBOURN AVE",
            "address_2": "301",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145090",
            "telephone_number": "773-472-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENIE B. PABST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-15",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "PABST",
        "authorized_official_first_name": "EUGENIE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-472-0560",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eugenie B Pabst, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Oct 17, 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.