Active NPI
Jennifer Eden Pogoriler, MD PHD
- Anatomic Pathology & Clinical Pathology Physician
- Chicago, IL
National Provider Identifier
1982940631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 036.129498
- Practice address
- 5841 S. Maryland Ave, MC 6101, Room P615A
University of Chicago Department of Pathology
Chicago, IL 60637 - Phone
- (773) 834-8382
- NPI assigned
- Dec 28, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 036.129498 | IL | Primary |
Addresses
Primary practice location
5841 S. Maryland Ave, MC 6101, Room P615A
University of Chicago Department of Pathology
Chicago, IL 60637
Mailing address
5841 S. Maryland Ave, MC 6101, Room P615A,
University of Chicago Department of Pathology
Chicago, IL 60637
Phone (773) 834-8382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.129498 | IL | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356652800000",
"number": "1982940631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5841 S. MARYLAND AVE, MC 6101, ROOM P615A,",
"address_2": "UNIVERSITY OF CHICAGO DEPARTMENT OF PATHOLOGY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60637",
"telephone_number": "773-834-8382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5841 S. MARYLAND AVE, MC 6101, ROOM P615A",
"address_2": "UNIVERSITY OF CHICAGO DEPARTMENT OF PATHOLOGY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60637",
"telephone_number": "773-834-8382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POGORILER",
"first_name": "JENNIFER",
"middle_name": "EDEN",
"name_prefix": "Dr.",
"credential": "MD PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-28",
"last_updated": "2012-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "IL",
"license": "036.129498",
"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 Dec 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.