Academic Rheumatology LLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

ACADEMIC RHEUMATOLOGY LLC

Practice address

13303 S Ridgeland Ave Unit C
Palos Heights, IL 60463-0020

Phone

(708) 401-3311

Fax

(708) 401-3131

NPI assigned

Oct 11, 2017

Organization subpart

No

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

Authorized official

Name

Ibrahim Alghafeer, M.DNPI 1669444709

Title

President

Phone

(708) 401-3311

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ibrahim S Alghafeer, MD

  • Rheumatology Physician
  • Sycamore, IL
  • NPI 1669444709
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1083124465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22017 EMILY LN",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604237817",
            "telephone_number": "708-401-3311",
            "fax_number": "708-401-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13303 S RIDGELAND AVE UNIT C",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604630020",
            "telephone_number": "708-401-3311",
            "fax_number": "708-401-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACADEMIC RHEUMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "ALGHAFEER",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-401-3311",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rheumatology Physician in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Rheumatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.