NPIMap

Organization Active NPI

Alzein Medical LTD

Doing business as Alzein Pediatrics

  • Specialist
  • Evergreen Park, IL
National Provider Identifier
1194914093
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036088165 Issued in IL
Legal business name
ALZEIN MEDICAL LTD
Doing business as
Alzein Pediatrics
Practice address
2850 W 95TH St Ste 400
Evergreen Park, IL 60805-2755
Phone
(708) 424-7600
Fax
(708) 424-7605
NPI assigned
Oct 17, 2007
Last updated
Oct 23, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Hassan Alzein, M.D.NPI 1922104025
Title
President/Owner
Phone
(708) 424-7600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036088165 IL Primary
Family Medicine Physician 207Q00000X 036088165 IL

Addresses

Primary practice location

2850 W 95TH St Ste 400
Evergreen Park, IL 60805-2755

Mailing address

2850 W 95TH St Ste 400
Evergreen Park, IL 60805-2755
Phone (708) 424-7600

Other identifiers 1

IdentifierTypeStateIssuer
036088165MedicaidIL

Other names 1

  • Alzein Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0961021Alzein Medical LTD2850 W 95TH St #400, Evergreen Park, IL 60805Certificate of waiverMay 24, 2027

National Provider Directory

National Provider Directory

Locations

2850 W 95th St
Ste 400
Evergreen Pk, IL 60805
Phone (708) 424-7600

5102 Museum Dr
Oak Lawn, IL 60453
Phone (617) 863-9090

5106 Museum Dr
Oak Lawn, IL 60453
Phone (708) 218-1012

5540 W 111th St
Ste 2
Oak Lawn, IL 60453
Phone (708) 424-7600

6700 W 95th St
Ste 250
Oak Lawn, IL 60453
Phone (708) 424-7600

Practitioners & affiliated clinicians

Practitioners 12

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": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1194914093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 W 95TH ST STE 400",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052755",
            "telephone_number": "708-424-7600",
            "fax_number": "708-424-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 W 95TH ST STE 400",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052755",
            "telephone_number": "708-424-7600",
            "fax_number": "708-424-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALZEIN MEDICAL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2023-10-23",
        "certification_date": "2023-03-08",
        "status": "A",
        "authorized_official_last_name": "ALZEIN",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "708-424-7600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036088165",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036088165",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036088165",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alzein Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evergreen Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.