Active NPI
Suresh Talathi, MD
- Pediatrics Physician
- Chicago, IL
National Provider Identifier
1982788741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036-056413
- Practice address
- 3435 W Van Buren St
Lower Level
Chicago, IL 60624-3312 - Phone
- (773) 265-0300
- Fax
- (773) 265-8467
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036-056413 | IL | Primary |
Addresses
Primary practice location
3435 W Van Buren St
Lower Level
Chicago, IL 60624-3312
Mailing address
3435 W Van Buren St
Lower Level
Chicago, IL 60624-3312
Phone (773) 265-0300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-056413 | IL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337558400000",
"number": "1982788741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3435 W VAN BUREN ST",
"address_2": "LOWER LEVEL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606243312",
"telephone_number": "773-265-0300",
"fax_number": "773-265-8467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3435 W VAN BUREN ST",
"address_2": "LOWER LEVEL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606243312",
"telephone_number": "773-265-0300",
"fax_number": "773-265-8467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALATHI",
"first_name": "SURESH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2012-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036-056413",
"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 May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.