Azzam M Alkhudari, MD
Individual provider Active NPI Pain Medicine (Anesthesiology) Physician · Oak Lawn, IL
NPI 1285706754 · NPPES record last updated Nov 11, 2024
Key facts
- NPI
- 1285706754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pain Medicine (Anesthesiology) Physician 207LP2900X
- License
- 036-113149 (IL)
- Practice address
- 5669 W 95TH St Ste 3a
Oak Lawn, IL 60453-2382 - Phone
- (708) 634-2627
- Fax
- (630) 246-3166
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 29
Medicare Care Compare profile
- Specialty
- Pain Management
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Cook County
Practice addresses (Care Compare)
1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 633-7292
500 E 51St St
Chicago, IL 60615-2494
Phone (312) 572-2000
5669 W 95TH St
Suite 3
Oak Lawn, IL 60453-6501
Phone (708) 634-2627
Hospital & facility affiliations
- John H Stroger Jr Hospital
- Advocate Trinity Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120612000510 | IL | Practitioner - Pain Management |
1951405851 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook County | Current |
Accepting new patients | |
| Cook County | Anesthesiology | Current |
Accepting new patients |
| Cook County | Current | Accepting new patients | |
| Comprehensive Pain Care Center Inc | Pain Medicine | Current |
Accepting new patients |
| Dansville Anesthesia & Pain Treatment, PLLC | Anesthesiology | Past | Accepting new patients |
| John T Goodsell DO PC Gregory Linderer MD LTD | Anesthesiology | Past |
Accepting new patients |
Locations
25706 Network Pl
Chicago, IL 60673
4909 W Division St
Chicago, IL 60651
Phone (773) 854-8000
500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000
1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100
1969 W Ogden Ave
Chicago, IL 60612
Phone (312) 864-3600
5669 W 95th St
Ste 3
Oak Lawn, IL 60453
Phone (630) 590-5809
5669 W 95th St
Oak Lawn, IL 60453
Phone (708) 422-4180
5669 W 95th St
Ste 3A
Oak Lawn, IL 60453
Phone (708) 634-2627
Interoperability endpoints
- aalkhudari@direct.ccprovider.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036-113149 | IL | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 036-113149 | IL | Yes |
Addresses
Primary practice location
5669 W 95TH St Ste 3a
Oak Lawn, IL 60453-2382
Mailing address
8S180 S Vine St
Burr Ridge, IL 60527-5542
Phone (630) 590-5809
Other practice location 1
8S180 S Vine St
Burr Ridge, IL 60527-5542
Phone (630) 590-5809
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aalkhudari@direct.ccprovider.org | Direct | Cook County |
Other providers in Oak Lawn, IL
- Aliya of Oak Lawn LLC
- Donia Alkaraki
- Waleed Alkaraki
- Ranin Mustafa Alkhatib
- Noor Alkhawam
- All Generation Home Healthcare, Inc.
- All in One Urgent Care PLLC
- Sireesha Allamneni
- Grace Alleman
- Brandi Allen
All providers in Oak Lawn, IL · Pain Medicine (Anesthesiology) Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.