Individual provider Active NPI

Reema Lynn Habiby, M.D.

  • Pediatric Endocrinology Physician
  • Chicago, IL
National Provider Identifier
1033291182
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Endocrinology PhysicianTaxonomy code 2080P0205X
License
036-084362 Issued in IL
Practice address
225 E Chicago Ave # 54
Chicago, IL 60611-2991
Phone
(312) 227-6090
Fax
(312) 227-9403
NPI assigned
Oct 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician 2080P0205X 036-084362 IL Primary

Addresses

Primary practice location

225 E Chicago Ave # 54
Chicago, IL 60611-2991

Mailing address

225 E Chicago Ave # 54
Chicago, IL 60611-2991
Phone (312) 227-6090

Other identifiers 1

IdentifierTypeStateIssuer
036-084362OtherILSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051221000693 IL Practitioner - EndocrinologyPractitioner - Pediatric Medicine 3577585330 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-084362ILMDPediatric Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lurie Children'S Medical Group Inc CurrentSince Apr 4, 2017 Accepting new patients
Lurie Children'S Medical Group, LLC Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

Claims Remittance
Carol Stream, IL 60122

225 E Chicago Ave
Chicago, IL 60611
Phone (312) 227-6415

2515 N Clark St
Ste 903
Chicago, IL 60614
Phone (773) 472-3427

737 N Michigan Ave
Ste 2040
Chicago, IL 60611

225 E Chicago Ave
Fl 3
Chicago, IL 60611
Phone (312) 573-2287

225 E Chicago Ave
#54
Chicago, IL 60611
Phone (312) 227-6090

2515 N Clark St
Chicago, IL 60614
Phone (312) 227-6010

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1033291182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E CHICAGO AVE # 54",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112991",
            "telephone_number": "312-227-6090",
            "fax_number": "312-227-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E CHICAGO AVE # 54",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112991",
            "telephone_number": "312-227-6090",
            "fax_number": "312-227-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABIBY",
        "first_name": "REEMA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-19",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0205X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Endocrinology",
            "state": "IL",
            "license": "036-084362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036-084362",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.