Syed Abdur Rahim, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036118249 Issued in IL

Practice address

6501 N Lincoln Ave
Lincolnwood, IL 60712-3925

Phone

(847) 287-4505

Fax

(847) 739-7275

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

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

Specialty

PsychiatryAlso: Pediatric Medicine

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• KND Development 59 LLC

  • Hospitalist Physician
  • Chicago, IL
  • NPI 1992034599
  Medicare reassignment NPD
• R Hope Treatment, LLC

  • Psychiatry Physician
  • Evanston, IL
  • NPI 1194591859
  Medicare reassignment NPD
• KND Development 59 LLC

  • Hospitalist Physician
  • Chicago, IL
  • NPI 1447589981
  NPD
• KND Development 59, LLC

  • Hospitalist Physician
  • Broken Arrow, OK
  • NPI 1922950823
  NPD
• Behavioral Health and Education Specialists Inc

  • Clinical Psychologist
  • Plainfield, IL
  • NPI 1285812834

  Psychiatry

  NPD (past)
• Bhes Medical Group, LLC

  • Clinical Psychologist
  • Plainfield, IL
  • NPI 1386059996

  Child & Adolescent Psychiatry

  NPD (past)
• Childrens Physician Group PC

  • Neurology Physician
  • Milwaukee, WI
  • NPI 1700992450
  NPD (past)
• County of Milwaukee

  • Psychiatry Physician
  • Milwaukee, WI
  • NPI 1831256353
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643760000000",
    "number": "1124118625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 W HIGHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592110",
            "telephone_number": "847-287-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 N LINCOLN AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607123925",
            "telephone_number": "847-287-4505",
            "fax_number": "847-739-7275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6450 N Ridge Blvd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606264804",
            "country_code": "US",
            "telephone_number": "847-287-4505",
            "fax_number": "847-739-7275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5547 N Kenmore Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606401597",
            "country_code": "US",
            "telephone_number": "847-287-4505",
            "fax_number": "847-739-7275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4640 N Marine Dr",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606405719",
            "country_code": "US",
            "telephone_number": "847-287-4505",
            "fax_number": "847-739-7275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5140 N California Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606253645",
            "country_code": "US",
            "telephone_number": "847-287-4505",
            "fax_number": "847-739-7275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAHIM",
        "first_name": "SYED",
        "middle_name": "ABDUR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2022-02-02",
        "certification_date": "2022-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "50818-20",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036118249",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WI",
            "license": "50818-20",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036118249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34966800",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036118249",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quality Medical Supplies Inc
• Jennifer Quintero
• Maryah Qureshi, LMFT
• Rina Racinowski, LCSW
• Elaine Dorothy Rado, PH.D.
• Frank O Ramirez
• Mary G. Raptis-Garcia, PHARM.D.
• Donna Jean Ratte, PHD,MSW,LCSW
• Brittany E Ray
• Irma F Realiza, MD

• Psychiatry Physician in Lincolnwood, IL
• Providers in Lincolnwood, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; 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.

Verify at the official NPI Registry.