Moanis Karam Hilmy Bastawrous, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

125056915 Issued in IL

Practice address

3003 Green Bay Road
Chicago, IL 60064

Phone

(347) 228-8628

NPI assigned

Jul 7, 2009

Last updated

Jul 7, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1003045428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3503 GREEN BAY RD APT 108",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "600643619",
            "telephone_number": "347-228-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 GREEN BAY ROAD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60064",
            "telephone_number": "347-228-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTAWROUS",
        "first_name": "MOANIS",
        "middle_name": "KARAM HILMY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "125056915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer M Bassler
• Rochel Bassman
• Joseph Martin Basso III, LCSW, CADC
• Cynthia Bassuk, LCPC
• Ahmad Bastani, MD
• Surendra Basti, MD
• William Robert Bastian
• Jessica Bastidas, PA-C
• Mitchell Bastillo
• Satish Bastola, MD

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.