NPIMap

Individual provider Active NPI

Ahmed Hussain Memon, NP

  • Nurse Practitioner
  • Chicago, IL
National Provider Identifier
1033693742
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209-017981 Issued in IL
Practice address
3800 W Madison St
Chicago, IL 60624-2312
Phone
(866) 267-2353
Fax
(847) 616-5563
NPI assigned
Sep 18, 2018
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209-017981 IL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 209.017981 IL

Addresses

Primary practice location

3800 W Madison St
Chicago, IL 60624-2312

Mailing address

8427 Austin Ave
Morton Grove, IL 60053-3213
Phone (224) 478-2533

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190219002452 IL Practitioner - Nurse Practitioner 2961740832 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Wisconsin School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physicians Home Care LLCGroup PAC ID 9436522968, 5 clinicians
A and M Medical Group PLLCGroup PAC ID 9234512799, 4 clinicians

Practice addresses (Care Compare)

1508 Bloomingdale Rd
Suite B
Glendale Heights, IL 60139-2758
Phone (331) 871-6674

2110 W Devon Ave
Chicago, IL 60659-2106
Phone (773) 828-1022

8427 Austin Ave
Morton Grove, IL 60053-3213
Phone (224) 623-5411

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.017981ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
A & M Medical Group PLLC CurrentSince Jun 1, 2022 Accepting new patients
Lyari HHC LLC Psychiatric/Mental Health CurrentSince Feb 1, 2025 Accepting new patients
Physicians Home Care LLC CurrentSince Jan 28, 2023 Accepting new patients
Access Community Health Network CurrentSince Jan 14, 2019 Accepting new patients
Access Community Health Network Current Accepting new patients
Access Community Health Network Past Accepting new patients

Locations

2110 W Devon Ave
Chicago, IL 60659
Phone (773) 828-1022

3229 W 47th Pl
#43
Chicago, IL 60632
Phone (773) 254-6044

3800 W Madison St
Chicago, IL 60624
Phone (773) 826-3222

600 W Fulton St
Ste 200
Chicago, IL 60661
Phone (312) 526-2000

1508 Bloomingdale Rd
Ste B
Glendale Hts, IL 60139
Phone (331) 871-6674

7450 W 63rd St
Summit Argo, IL 60501
Phone (708) 458-0757

Organizations & group practices 6

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1033693742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8427 AUSTIN AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533213",
            "telephone_number": "224-478-2533",
            "fax_number": "847-616-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W MADISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606242312",
            "telephone_number": "866-267-2353",
            "fax_number": "847-616-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMON",
        "first_name": "AHMED",
        "middle_name": "HUSSAIN",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-18",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209-017981",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.017981",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.