Deen Health System LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DEEN HEALTH SYSTEM LLC

Practice address

2611 S Lawndale Ave
Chicago, IL 60623-4520

Phone

(773) 521-6666

Fax

(833) 404-2600

NPI assigned

Jan 23, 2018

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mohamed S Sirajudeen

Title

Manager

Phone

(773) 552-1355

Specialties & licenses 5

Addresses

Locations

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1043718190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 W DIVISION ST STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606513108",
            "telephone_number": "773-552-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 S LAWNDALE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606234520",
            "telephone_number": "773-521-6666",
            "fax_number": "833-404-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4909 W Division St Ste 302",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606513161",
            "country_code": "US",
            "telephone_number": "773-832-7100",
            "fax_number": "833-832-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEEN HEALTH SYSTEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-23",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "SIRAJUDEEN",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-552-1355",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dee Stress Counseling PLLC
• Weena Dee, PT, DPT
• Nicole Deeke, DPT
• Declan Michael Deely, LSW
• Susan Deems-Dluhy, PT
• Surrin Shazam Deen
• Vaishali Deenadayalan, MD
• Deep Roots Chiropractic & Wellness Center LLC
• Shara Deepankar, BCBA
• Deeply Rooted Nutrition LLC

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, 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 Jun 16, 2018; 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.