Organization Active NPI

Dr Selma Arain LTD

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1063671824
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
DR SELMA ARAIN LTD
Practice address
4403 W Lawrence Ave
Suite 200
Chicago, IL 60630-2513
Phone
(773) 736-1555
Fax
(773) 736-1552
NPI assigned
Jun 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Selma A Arain, M.D.
Title
President Ceo
Phone
(773) 736-1555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

4403 W Lawrence Ave
Suite 200
Chicago, IL 60630-2513

Mailing address

4403 W Lawrence Ave
Suite 200
Chicago, IL 60630-2513
Phone (773) 736-1555

Other identifiers 1

IdentifierTypeStateIssuer
036111824MedicaidIL

National Provider Directory

National Provider Directory

Locations

2025 S Arlington Heights Rd
Ste 105
Arlington Heights, IL 60005

NPI Registry JSON

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1063671824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 W LAWRENCE AVE",
            "address_2": "SUITE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302513",
            "telephone_number": "773-736-1555",
            "fax_number": "773-736-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 W LAWRENCE AVE",
            "address_2": "SUITE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302513",
            "telephone_number": "773-736-1555",
            "fax_number": "773-736-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR SELMA ARAIN LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-06",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ARAIN",
        "authorized_official_first_name": "SELMA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "773-736-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036111824",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.