Abbasi M.D.S.C.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036068401 Issued in IL

Legal business name

ABBASI M.D.S.C.

Practice address

10639 Great Egret Dr
Orland Park, IL 60467-8490

Phone

(708) 460-9192

Fax

(708) 310-4327

NPI assigned

May 6, 2008

Last updated

Apr 30, 2013By 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

Tahir A Abbasi, M.D.NPI 1255495701

Title

President

Phone

(708) 206-1090

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tahir A Abbasi, M.D.

  • Cardiovascular Disease Physician
  • Hazel Crest, IL
  • NPI 1255495701
  Medicare reassignment Authorized official
• Dilipkumar C Parikh, MD

  • Cardiovascular Disease Physician
  • Chicago, IL
  • NPI 1376527044
  NPD (past)
• Nazila Shafagati, MD

  • Hematology & Oncology Physician
  • San Francisco, CA
  • NPI 1700444882
  NPD (past)

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1083880348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17680 KEDZIE AVE",
            "address_2": "206",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292043",
            "telephone_number": "708-206-1090",
            "fax_number": "708-310-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10639 GREAT EGRET DR",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678490",
            "telephone_number": "708-460-9192",
            "fax_number": "708-310-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBASI M.D.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "ABBASI",
        "authorized_official_first_name": "TAHIR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-206-1090",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036068401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• A&E Medical Services, LLC
• A2Z Healthcare Services, LLC.
• A2Z Medical Supplies
• A2Z Medical Supplies, Co. (A2Z Medical Supplies)
• Abanoub, LLC
• Doreen Abbinanti Glomb, PTA
• Abc Developmental Play, LTD
• Lamese Abdelhamid
• Awni Hamdi Abdelqader, PHARMD
• Duaa Abdullah

• Cardiovascular Disease Physician in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.