Hamdard Health Alliance

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

HAMDARD HEALTH ALLIANCE

Doing business as

Hamdard Health Skokie

Practice address

4159 Main St
Skokie, IL 60076-2780

Phone

(773) 465-4600

NPI assigned

Dec 20, 2022

Organization subpart

No

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

Authorized official

Name

Shawn Bailey

Title

Finance Administration Manager

Phone

(630) 835-1430

Specialties & licenses 1

Addresses

Other names 2

• Hamdard Health Skokie Doing business as
• Hamdard Center for Health and Human Services, NFP Former legal business name

Tax ID family

Hamdard Center Services NFP2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hamdard Health Alliance

  dba Hamdard Health Skokie

  • Adult Day Care Clinic/Center
  • Skokie, IL
  • NPI 1376299065
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/10099/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1013629146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 E LAKE ST",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012889",
            "telephone_number": "630-835-1430",
            "fax_number": "630-835-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4159 MAIN ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762780",
            "telephone_number": "773-465-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMDARD HEALTH ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "FINANCE ADMINISTRATION MANAGER",
        "authorized_official_telephone_number": "630-835-1430"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hamdard Health Skokie",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hamdard Center for Health and Human Services, NFP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Colleen Haller, DO
• Helen Hallermann, BCBA
• Kristina Marie Halley, PA-C
• Ham Meds Trading LLC
• Roy H. Hamamoto, D.D.S.
• Hamdard Health Alliance (Hamdard Health Skokie)
• Ahmed Q a Hamdi
• Heidi Beth Hamernik, PH.D.
• Samantha Han, APRN
• Zena Ruth Handlon, LCSW

• Federally Qualified Health Center (FQHC) in Skokie, IL
• Providers in Skokie, IL by specialty
• Federally Qualified Health Center (FQHC) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; 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.