Active NPI
Ahmad Elzokaky
- Psychiatry Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 125.078934
- Practice address
- 645 S Central Ave
Chicago, IL 60644-5059 - Phone
- (773) 626-4300
- NPI assigned
- Jun 16, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 125.078934 | IL | Primary |
Addresses
Primary practice location
645 S Central Ave
Chicago, IL 60644-5059
Mailing address
1841 S Calumet Ave Apt 1902
Chicago, IL 60616-4843
Phone (909) 450-7087
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 E Superior St
Suite 306
Chicago, IL 60611-2595
Phone (312) 754-9404
1004 Pawlak Pkwy
New Lenox, IL 60451-9401
Phone (844) 580-5000
333 N Michigan Ave
Suite 1400
Chicago, IL 60601-4011
Phone (312) 815-9660
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.078934 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riveredge Hospital Inc | Current | Accepting new patients | |
| Silver Oaks Behavioral, LLC | Current | Accepting new patients | |
| Clarity Clinic PLLC | Current | Accepting new patients | |
| Summit Center for Health, LLC | Current | Accepting new patients |
Locations
333 N Michigan Ave
Ste 1400
Chicago, IL 60601
Phone (312) 815-9660
1 E Superior St
Ste 306
Chicago, IL 60611
Phone (312) 754-9404
8311 Roosevelt Rd
Forest Park, IL 60130
Phone (708) 488-4968
1004 Pawlak Pkwy
New Lenox, IL 60451
Phone (815) 215-3300
1S210 Summit Ave
Oakbrook Terrace, IL 60181
Phone (630) 282-6000
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1063803856
-
- Psychiatric Hospital
- New Lenox, IL
- NPI 1376020479
-
- Psychiatric Hospital
- Forest Park, IL
- NPI 1710070701
-
- Multi-Specialty Clinic/Center
- Oakbrook Terrace, IL
- NPI 1619212800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623801600000",
"number": "1073181962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1841 S CALUMET AVE APT 1902",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606164843",
"telephone_number": "909-450-7087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 S CENTRAL AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606445059",
"telephone_number": "773-626-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELZOKAKY",
"first_name": "AHMAD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-16",
"last_updated": "2021-06-16",
"certification_date": "2021-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "125.078934",
"primary": true
}
],
"identifiers": [],
"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 Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.