Active NPI
Syed Haider M Imam
- Cardiovascular Disease Physician
- Hazel Crest, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036-159236
- Practice address
- 17850 Kedzie Ave Ste 3250
Hazel Crest, IL 60429-2082 - Phone
- (708) 799-8700
- NPI assigned
- Jul 15, 2012
- Last updated
- Jul 28, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 51321 | KY | |
| Cardiovascular Disease Physician | 207RC0000X | 036-159236 | IL | Primary |
Addresses
Primary practice location
17850 Kedzie Ave Ste 3250
Hazel Crest, IL 60429-2082
Mailing address
29373 Network PL
Chicago, IL 60673-1293
Phone (847) 390-5900
Other practice location 1
255 Main St
Whitesburg, KY 41858-7315
Phone (606) 633-7355
Other practice location 2
911 Bypass Rd
Pikeville, KY 41501
Phone (606) 430-2201
Other practice location 3
1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | syed.imam.p1@direct.pmc.nextgenshare.com | Direct | |
| Direct Messaging Address | syed.imam.p1@direct.pmc.nextgenshare.com | Direct | |
| Direct Messaging Address | simam359986@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1036 W Stephenson St
Freeport, IL 61032-4865
Phone (815) 599-6000
17850 S Kedzie Ave
Suite 3250
Hazel Crest, IL 60429-2049
Phone (708) 799-8700
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-159236 | IL | MD | Cardiovascular Disease Physician |
| 51321 | KY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedishamerican Hospital | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Freeport Regional Health Care Foundation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Swedishamerican Hospital | Cardiovascular Disease | Current | Accepting new patients |
| Swedishamerican Hospital | Current | Accepting new patients | |
| Freeport Memorial Hospital | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Pikeville Medical Center Inc | Past | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105
1036 W Stephenson St
Freeport, IL 61032
Phone (815) 599-7410
17850 Kedzie Ave
Ste 3250
Hazel Crest, IL 60429
Phone (708) 779-8700
6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610
600 N Rush St
Stockton, IL 61085
Phone (815) 235-3165
Interoperability endpoints
- simam405035@direct.myadvocateaurora.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Advocate Medical Group
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
dba FHN
- Family Medicine Physician
- Freeport, IL
- NPI 1457337016
-
dba FHN-Memorial Hospital
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
-
dba SwedishAmerican Medical Group
- Family Medicine Physician
- Rockford, IL
- NPI 1962451732
Cardiovascular Disease
-
dba Advocate Children's Hospital
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
dba Advocate Good Samaritan Hospital
- General Acute Care Hospital
- Downers Grove, IL
- NPI 1578670543
-
- Community/Retail Pharmacy
- Rockford, IL
- NPI 1306635982
-
- Vascular Surgery Physician
- Rockford, IL
- NPI 1376950485
-
- Sleep Disorder Diagnostic Clinic/Center
- Whitesburg, KY
- NPI 1871575498
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate South Suburban Hospital
- General Acute Care Hospital
- Hazel Crest, IL
- NPI 1467560128
-
dba Advocate Children's Hospital
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
dba Advocate Christ Medical Center
- General Acute Care Hospital
- Oak Lawn, IL
- NPI 1548375082
-
dba Advocate South Suburban Hospital
- General Acute Care Hospital
- Chicago, IL
- NPI 1558479212
-
dba FHN-Memorial Hospital
- General Acute Care Hospital
- Freeport, IL
- NPI 1447228788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1124373253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731293",
"telephone_number": "847-390-5900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17850 KEDZIE AVE STE 3250",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604292082",
"telephone_number": "708-799-8700"
}
],
"practiceLocations": [
{
"address_1": "255 Main St",
"address_purpose": "LOCATION",
"city": "Whitesburg",
"state": "KY",
"postal_code": "418587315",
"country_code": "US",
"telephone_number": "606-633-7355",
"fax_number": "606-633-6325",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "911 Bypass Rd",
"address_purpose": "LOCATION",
"city": "Pikeville",
"state": "KY",
"postal_code": "41501",
"country_code": "US",
"telephone_number": "606-430-2201",
"fax_number": "606-218-4651",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1045 W Stephenson St",
"address_purpose": "LOCATION",
"city": "Freeport",
"state": "IL",
"postal_code": "610324864",
"country_code": "US",
"telephone_number": "815-599-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IMAM",
"first_name": "SYED HAIDER",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-15",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "KY",
"license": "51321",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036-159236",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "syed.imam.p1@direct.pmc.nextgenshare.com",
"affiliation": "N",
"endpointDescription": "direct address for ccda",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "standard direct functionality",
"address_1": "911 Bypass Rd",
"city": "Pikeville",
"state": "KY",
"country_code": "US",
"postal_code": "41501",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "syed.imam.p1@direct.pmc.nextgenshare.com",
"affiliation": "N",
"endpointDescription": "direct address for ccda",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "standard direct functionality",
"address_1": "255 Main St",
"city": "Whitesburg",
"state": "KY",
"country_code": "US",
"postal_code": "418587315",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "simam359986@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "17850 Kedzie Ave Ste 3250",
"city": "Hazel Crest",
"state": "IL",
"country_code": "US",
"postal_code": "604292082",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "17850 Kedzie Ave Ste 3250",
"city": "Hazel Crest",
"state": "IL",
"country_code": "US",
"postal_code": "604292082",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hazel Crest, IL
- Michael Humble, MASSAGE THERAPIST
- Rayna Lenora Hunt
- Bonita Husband, CRC
- Ican Dream Center NFP
- Ijg Transportation L.L.C.
- Imperial Manor of Hazel Crest, LLC
- Imperial of Hazel Crest
- Insight Chicago, Inc. (Insight Chandra Diagnstics Cardiology)
- Inter-Community Radiation Oncology SC
- Isd Renal Inc (Hazel Crest Renal Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.