Nour Al-Hadidi, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

125071634 Issued in IL

Practice address

550 E Devon Ave Ste 200
Itasca, IL 60143-2639

Phone

(864) 625-3376

NPI assigned

Jun 9, 2015

Last updated

Jul 2, 2021By the provider in NPPES

Sex

Female

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Michigan Medical School, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oak Dermatology LLCGroup PAC ID 7810256849, 17 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oak Dermatology LLC

  • MOHS-Micrographic Surgery Physician
  • Itasca, IL
  • NPI 1487168258
  Medicare reassignment Care Compare group NPD
• Rush University Medical Group

  dba Rush University Internists

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1093819542

  Dermatology

  NPD (past)

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1285014860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E MEDICAL CENTER DR",
            "address_2": "3116 TAUBMAN CENTER, SPC 5368",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E DEVON AVE STE 200",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601432639",
            "telephone_number": "864-625-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-HADIDI",
        "first_name": "NOUR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-09",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "125071634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Activcore Rehabilitation Centers of Illinois, P.C.
• Active Choice Health & Wellness, LTD.
• Adventist Health Partners, Inc (Family Medical Associates)
• Amanda Aguilar
• Ariana Aldama
• Faith Appiagyei
• Arbor of Itasca, Inc
• Ashpole Surgery Center LLC
• Bradley Lane Ashpole, M.D.

• Dermatology Physician in Itasca, IL
• Providers in Itasca, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.
• 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.