Organization Active NPI

Anish Pithadia, MD, SC

  • Family Medicine Physician
  • Des Plaines, IL
National Provider Identifier
1982847307
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-116564 Issued in IL
Legal business name
ANISH PITHADIA, MD, SC
Practice address
1792 E Oakton Street
Des Plaines, IL 60018-2110
Phone
(847) 827-4496
Fax
(847) 827-1256
NPI assigned
Apr 15, 2009
Last updated
Jul 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

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

Authorized official

Name
Dr. Anish P Pithadia, MD
Title
President
Phone
(847) 827-4496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036-116564 IL Primary

Addresses

Primary practice location

1792 E Oakton Street
Des Plaines, IL 60018-2110

Mailing address

1792 E Oakton Street
Des Plaines, IL 60018-2110
Phone (847) 827-4496

National Provider Directory

National Provider Directory

Locations

1792 E Oakton St
Des Plaines, IL 60018
Phone (847) 827-4496

NPI Registry JSON

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1982847307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1792 E OAKTON STREET",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182110",
            "telephone_number": "847-827-4496",
            "fax_number": "847-827-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 E OAKTON STREET",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600182110",
            "telephone_number": "847-827-4496",
            "fax_number": "847-827-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANISH PITHADIA, MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-15",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "PITHADIA",
        "authorized_official_first_name": "ANISH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-827-4496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-116564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.