Organization Active NPI

Haidari Shikari MD

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1184922536
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036053496 Issued in IL
Legal business name
HAIDARI SHIKARI MD
Practice address
938 W Nelson St
First Floor
Chicago, IL 60657-6704
Phone
(773) 883-0200
Fax
(773) 883-0090
NPI assigned
Mar 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Dr. Haidari Shikari, M.D.
Title
Psychiatrist
Phone
(773) 883-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 036053496 IL Primary

Addresses

Primary practice location

938 W Nelson St
First Floor
Chicago, IL 60657-6704

Mailing address

938 W Nelson St
First Floor
Chicago, IL 60657-6704
Phone (773) 883-0200

Other identifiers 1

IdentifierTypeStateIssuer
036053496MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1184922536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 W NELSON ST",
            "address_2": "FIRST FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576704",
            "telephone_number": "773-883-0200",
            "fax_number": "773-883-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 W NELSON ST",
            "address_2": "FIRST FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576704",
            "telephone_number": "773-883-0200",
            "fax_number": "773-883-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIDARI SHIKARI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "SHIKARI",
        "authorized_official_first_name": "HAIDARI",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "773-883-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036053496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036053496",
            "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 Mar 9, 2011; 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.