Organization Active NPI

Mohammad Jamil MD Heart Clinic LTD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1174783229
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036042060 Issued in IL
Legal business name
MOHAMMAD JAMIL MD HEART CLINIC LTD
Practice address
2837 S Halsted St
Chicago, IL 60608
Phone
(312) 326-1189
Fax
(312) 326-0163
NPI assigned
Jun 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Authorized official

Name
Mr. Mohammad Jamil, MD
Title
Physician
Phone
(312) 326-1189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036042060 IL Primary

Addresses

Primary practice location

2837 S Halsted St
Chicago, IL 60608

Mailing address

2837 S Halsted St
Chicago, IL 60608
Phone (312) 326-1189

Other identifiers 2

IdentifierTypeStateIssuer
21602717OtherILBCBS
036042060MedicaidIL

National Provider Directory

National Provider Directory

Locations

2837 S Halsted St
Chicago, IL 60608
Phone (312) 326-1189

NPI Registry JSON

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288656000000",
    "number": "1174783229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2837 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60608",
            "telephone_number": "312-326-1189",
            "fax_number": "312-326-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2837 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60608",
            "telephone_number": "312-326-1189",
            "fax_number": "312-326-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD JAMIL MD HEART CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-12",
        "last_updated": "2010-11-02",
        "status": "A",
        "authorized_official_last_name": "JAMIL",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "312-326-1189",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036042060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21602717",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036042060",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.