Organization Active NPI

Orland Pediatrics, Inc

  • Pediatrics Physician
  • Orland Park, IL
National Provider Identifier
1184199135
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ORLAND PEDIATRICS, INC
Practice address
16622 107TH St
Orland Park, IL 60467-8898
Phone
(708) 403-2900
Fax
(888) 383-8967
NPI assigned
Oct 5, 2018
Last updated
Mar 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Authorized official

Name
Nazem Alzalam, M.DNPI 1386670941
Title
President
Phone
(708) 403-2900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

16622 107TH St
Orland Park, IL 60467-8898

Mailing address

16622 107TH St
Orland Park, IL 60467-8898
Phone (708) 403-2900

Other identifiers 1

IdentifierTypeStateIssuer
036-087470MedicaidIL

National Provider Directory

National Provider Directory

Locations

16622 107th St
Orland Park, IL 60467
Phone (708) 403-2900

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1184199135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16622 107TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678898",
            "telephone_number": "708-403-2900",
            "fax_number": "888-383-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16622 107TH ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678898",
            "telephone_number": "708-403-2900",
            "fax_number": "888-383-8967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLAND PEDIATRICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "ALZALAM",
        "authorized_official_first_name": "NAZEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-403-2900",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-087470",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.