NPIMap

Organization Active NPI

Azam Abbasi

Doing business as Dua Medicar

  • Non-emergency Medical Transport (VAN)
  • Wilmette, IL
National Provider Identifier
1255697579
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
AZAM ABBASI
Doing business as
Dua Medicar
Practice address
708 Lavergne Ave
Wilmette, IL 60091-2028
Phone
(773) 910-0193
NPI assigned
Apr 11, 2012
Last updated
Jun 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Authorized official

Name
Azam AbbasiNPI 1508971656
Title
Owner
Phone
(773) 910-0193

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X NU Primary

Addresses

Primary practice location

708 Lavergne Ave
Wilmette, IL 60091-2028

Mailing address

708 Lavergne Ave
Wilmette, IL 60091-2028

Other names 1

  • Dua Medicar Doing business as

National Provider Directory

National Provider Directory

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": "1334102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1255697579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 LAVERGNE AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 LAVERGNE AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912028",
            "telephone_number": "773-910-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZAM ABBASI",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-11",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "ABBASI",
        "authorized_official_first_name": "AZAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-910-0193"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dua Medicar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.