Chicago Midwest Geriatrics Physicians Inc

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

036107661 Issued in IL

Legal business name

CHICAGO MIDWEST GERIATRICS PHYSICIANS INC

Practice address

2S633 Briarcliff CT
Lombard, IL 60148-5207

Phone

(630) 981-7250

NPI assigned

May 17, 2016

Organization subpart

No

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

Authorized official

Name

Arshea Siddiqui, MDNPI 1184670671

Title

President

Phone

(630) 981-7250

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 9

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

• Arshea Siddiqui, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Aurora, IL
  • NPI 1184670671
  Medicare reassignment Care Compare group Authorized official
• Lisa Kovtun, APN

  • Family Nurse Practitioner
  • Buffalo Grove, IL
  • NPI 1922851245
  Medicare reassignment Care Compare group NPD
• Catherine Arend

  • Family Nurse Practitioner
  • Crystal Lake, IL
  • NPI 1538600820
  Medicare reassignment Care Compare group
• Hiren Desai

  • Nurse Practitioner
  • Downers Grove, IL
  • NPI 1912570169
  Medicare reassignment Care Compare group
• Ireen Evangelista

  • Nurse Practitioner
  • Westchester, IL
  • NPI 1447704135
  Medicare reassignment Care Compare group
• Melissa White, APRN

  • Family Nurse Practitioner
  • Plainfield, IL
  • NPI 1962035089
  Medicare reassignment Care Compare group
• Amanda Brown-Bartlett

  • Family Nurse Practitioner
  • Plainfield, IL
  • NPI 1235665076
  Medicare reassignment
• Alvia Sabahat, M.D.

  • Family Medicine Physician
  • Bethesda, MD
  • NPI 1699707851

  IL

  Medicare reassignment
• George Charuk, DO

  • Physical Medicine & Rehabilitation Physician
  • Evergreen Park, IL
  • NPI 1679547079
  NPD (past)

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1104273440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2S633 BRIARCLIFF CT",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485207",
            "telephone_number": "630-981-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2S633 BRIARCLIFF CT",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485207",
            "telephone_number": "630-981-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO MIDWEST GERIATRICS PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "SIDDIQUI",
        "authorized_official_first_name": "ARSHEA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-981-7250",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "IL",
            "license": "036107661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timmy Z Chen, DMD
• Caseylin Ong Cheng, PA-C
• Shilpa Reddy Cherukupally, MD
• Chicago Home Caregivers
• Chicago Medical Specialists Chartered
• Chicago Pain and Wellness Institute S.C.
• Chicago Pain Anesthesia S C
• Chicago Pain Institute S C
• Chicago Podiatric Surgeons PC
• Chicago Pulmonary and Sleep Disorders Institute LTD

• Geriatric Medicine (Internal Medicine) Physician in Lombard, IL
• Providers in Lombard, IL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.