Iari Incorporated

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

IARI INCORPORATED

Practice address

14618 Lincoln Ave
Harvey, IL 60426-1610

Phone

(708) 339-7000

Fax

(708) 339-7000

NPI assigned

Nov 1, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Ijaz Ahmed, M.D

Title

President

Phone

(630) 779-6711

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643760000000",
    "number": "1033495288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14618 LINCOLN AVE",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604261610",
            "telephone_number": "708-339-7000",
            "fax_number": "708-339-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14618 LINCOLN AVE",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604261610",
            "telephone_number": "708-339-7000",
            "fax_number": "708-339-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2123 E 71st St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606492103",
            "country_code": "US",
            "telephone_number": "773-752-1506",
            "fax_number": "773-752-1507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IARI INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "IJAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-779-6711",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO/HMO",
            "identifier": "1033495288",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033495288",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Harvey, IL
• Providers in Harvey, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.