Organization Active NPI

Shankar Das MD SC

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1982907085
Registry record updated Dec 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036119559 Issued in IL
Legal business name
SHANKAR DAS MD SC
Practice address
4257 N Central Park Ave
Chicago, IL 60618-2019
Phone
(847) 502-4156
NPI assigned
Dec 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2010

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

Authorized official

Name
Dr. Shankar Das, MD
Title
President
Phone
(847) 502-4156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036119559 IL Primary

Addresses

Primary practice location

4257 N Central Park Ave
Chicago, IL 60618-2019

Mailing address

4257 N Central Park Ave
Chicago, IL 60618-2019
Phone (847) 502-4156

Other names 1

  • Dr Shankar Das Doing business as

National Provider Directory

National Provider Directory

Locations

7114 S Vincennes Ave
Chicago, IL 60621
Phone (773) 224-4800

326 W 64th St
Ste 318
Chicago, IL 60621
Phone (773) 224-4800

NPI Registry JSON

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1982907085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4257 N CENTRAL PARK AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606182019",
            "telephone_number": "847-502-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4257 N CENTRAL PARK AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606182019",
            "telephone_number": "847-502-4156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANKAR DAS MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-10",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "DAS",
        "authorized_official_first_name": "SHANKAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-502-4156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036119559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr Shankar Das",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 10, 2010; 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.