Active NPI
Michele E. Cho-Dorado, M.D.
- Pediatric Gastroenterology Physician
- Park Ridge, IL
National Provider Identifier
1982965893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 036.130199
- Practice address
- 1675 Dempster St
Yactman Pavilion, 3Rd Floor
Park Ridge, IL 60068-1110 - Phone
- (847) 723-7700
- Fax
- (847) 723-9418
- NPI assigned
- Jun 6, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Gastroenterology Physician | 2080P0206X | 036.130199 | IL | Primary |
Addresses
Primary practice location
1675 Dempster St
Yactman Pavilion, 3Rd Floor
Park Ridge, IL 60068-1110
Mailing address
1675 Dempster St
Yactman Pavilion, 3Rd Floor
Park Ridge, IL 60068-1110
Phone (847) 723-7700
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.130199 | IL | MD | Pediatric Gastroenterology Physician |
Interoperability endpoints
- mchodorado16953@uihealth.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471910400000",
"number": "1982965893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 DEMPSTER ST",
"address_2": "YACTMAN PAVILION, 3RD FLOOR",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681110",
"telephone_number": "847-723-7700",
"fax_number": "847-723-9418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 DEMPSTER ST",
"address_2": "YACTMAN PAVILION, 3RD FLOOR",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681110",
"telephone_number": "847-723-7700",
"fax_number": "847-723-9418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHO-DORADO",
"first_name": "MICHELE",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-06",
"last_updated": "2016-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "IL",
"license": "036.130199",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.