Individual provider Active NPI

Alma R Bicknese, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Chicago, IL
National Provider Identifier
1083622955
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
R8N53 Issued in MO
Practice address
1801 W Taylor St
Children and Adolescent Center
Chicago, IL 60612-4795
Phone
(312) 996-7416
Fax
(312) 996-5327
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X R8N53 MO
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X R8N53 MO Primary

Addresses

Primary practice location

1801 W Taylor St
Children and Adolescent Center
Chicago, IL 60612-4795

Mailing address

840 S Wood St
Dept. Pediatrics, University of Illinois
Chicago, IL 60612-4325
Phone (312) 996-7865

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090706000189 IL Practitioner - NeurologyPractitioner - Pediatric Medicine 6608927520 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lurie Children'S Medical Group Inc.Group PAC ID 4789597279, 142 clinicians

Practice addresses (Care Compare)

225 E Chicago Ave
Chicago, IL 60611-2991
Phone (312) 227-6415

Hospital & facility affiliations

  • Ann & Robert H Lurie Childrens Hospital of Chicago Hospital, Chicago, IL, CCN 143300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R8N53MOMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jun 16, 2009 Accepting new patients
Lurie Children'S Medical Group Inc CurrentSince Feb 12, 2017 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jun 16, 2009 Accepting new patients
Lurie Children'S Medical Group, LLC Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

Claims Remittance
Carol Stream, IL 60122

737 N Michigan Ave
Ste 2040
Chicago, IL 60611

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

840 S Wood St
Chicago, IL 60612
Phone (312) 996-6711

2515 N Clark St
#8
Chicago, IL 60614

225 E Chicago Ave
#118
Chicago, IL 60611

1801 W Taylor St
Chicago, IL 60612
Phone (312) 355-1700

840 S Wood St
#856
Chicago, IL 60612
Phone (312) 413-1429

225 E Chicago Ave
Chicago, IL 60611
Phone (312) 227-6415

2515 N Clark St
Chicago, IL 60614
Phone (312) 227-6010

1855 W Taylor St
Chicago, IL 60612
Phone (312) 996-6582

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1083622955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S WOOD ST",
            "address_2": "DEPT. PEDIATRICS, UNIVERSITY OF ILLINOIS",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124325",
            "telephone_number": "312-996-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W TAYLOR ST",
            "address_2": "CHILDREN AND ADOLESCENT CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124795",
            "telephone_number": "312-996-7416",
            "fax_number": "312-996-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKNESE",
        "first_name": "ALMA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MO",
            "license": "R8N53",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MO",
            "license": "R8N53",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.