Ahmad Chatila, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036.163065 Issued in IL

Practice address

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

Phone

(708) 424-7600

NPI assigned

Sep 24, 2020

Last updated

Oct 16, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: achatila34540@cghmc.direct-ci.com

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.

• Alzein Medical LTD

  dba Alzein Pediatrics

  • Specialist
  • Evergreen Park, IL
  • NPI 1194914093
  NPD
• Pediatric Associates of Watertown P.C.

  • Pediatrics Physician
  • Watertown, NY
  • NPI 1497855670
  NPD (past)

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1285241307",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHATILA",
        "first_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-24",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "190806",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036.163065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CGT Medical, PLLC
• Carmen Chan
• Julie Chang, MMS, PA-C
• Melissa M Chappell, M.D.
• George Charuk, DO
• Christopher Chelini, DC
• Kevin Matthew Chentorycki, PHARMD
• Sarah Chewning, APN-CNP
• Chicago Dental Salon, P.C.
• Chicago Heart and Vascular Centers LLC

• Pediatrics Physician in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.