Josie M Abogast, DVM
Individual provider Active NPI General Practice Physician · Chicago, IL
NPI 1952809451 · NPPES record last updated Jan 30, 2018
Key facts
- NPI
- 1952809451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 090012290 (IL)
- Practice address
- 3219 N. Clark St.
Chicago, IL 60657 - Phone
- (773) 327-4446
- NPI assigned
- Jan 30, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090012290 | IL | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 090012290 | IL | Yes |
Addresses
Primary practice location
3219 N. Clark St.
Chicago, IL 60657
Mailing address
3219 N. Clark St.
Chicago, IL 60657
NPI Registry JSON
{
"created_epoch": "1517270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517270400000",
"number": "1952809451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3219 N. CLARK ST.",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3219 N. CLARK ST.",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60657",
"telephone_number": "773-327-4446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABOGAST",
"first_name": "JOSIE",
"middle_name": "M",
"credential": "DVM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-30",
"last_updated": "2018-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IL",
"license": "090012290",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.