Ahmed Q a Hamdi

Primary specialty

DentistTaxonomy code 122300000X

License

019031375 Issued in IL

Practice address

9312 Skokie Blvd
Skokie, IL 60077-1309

Phone

(847) 673-3621

NPI assigned

Aug 31, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504137600000",
    "number": "1205354024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 WESLEY CT",
            "city": "MUNDELEIN",
            "state": "IL",
            "postal_code": "600604109",
            "telephone_number": "847-404-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9312 SKOKIE BLVD",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600771309",
            "telephone_number": "847-673-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMDI",
        "first_name": "AHMED",
        "middle_name": "Q A",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019031375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Marie Halley, PA-C
• Ham Meds Trading LLC
• Roy H. Hamamoto, D.D.S.
• Hamdard Health Alliance (Hamdard Health Skokie)
• Hamdard Health Alliance (Hamdard Health Skokie)
• Heidi Beth Hamernik, PH.D.
• Samantha Han, APRN
• Zena Ruth Handlon, LCSW
• Hands & Hearts Homecare, Inc.
• Patrick C. Hann, D.D.S.

• Dentist in Skokie, IL
• Providers in Skokie, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.