NPIMap

Organization Active NPI

Infectious Disease Specialists LTD.

  • Infectious Disease Physician
  • Tinley Park, IL
National Provider Identifier
1306836200
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
Legal business name
INFECTIOUS DISEASE SPECIALISTS LTD.
Practice address
16532 Oak Park Ave
Suite 101
Tinley Park, IL 60477-1918
Phone
(708) 333-3113
Fax
(708) 333-8991
NPI assigned
Oct 24, 2005
Last updated
Oct 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Authorized official

Name
Behnam Zakhireh, M.D.NPI 1639178924
Title
President
Phone
(708) 333-3113

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
Infectious Disease Physician 207RI0200X NU Primary

Addresses

Primary practice location

16532 Oak Park Ave
Suite 101
Tinley Park, IL 60477-1918

Mailing address

PO Box 729
Matteson, IL 60443-0729
Phone (708) 862-7674

Other identifiers 2

IdentifierTypeStateIssuer
3160176976OtherBCBSIL GROUP NUMBER
CM7411OtherILRR MEDICARE GROUP NUMBER

National Provider Directory

National Provider Directory

Locations

71 W 156th St
Ste 304
Harvey, IL 60426
Phone (708) 333-3113

500 W Court St
Lowr
Kankakee, IL 60901
Phone (708) 333-3113

16532 Oak Park Ave
Ste 101
Tinley Park, IL 60477
Phone (708) 333-3113

Practitioners & affiliated clinicians

Practitioners 6

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": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445990400000",
    "number": "1306836200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 729",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604430729",
            "telephone_number": "708-862-7674",
            "fax_number": "708-862-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16532 OAK PARK AVE",
            "address_2": "SUITE 101",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771918",
            "telephone_number": "708-333-3113",
            "fax_number": "708-333-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE SPECIALISTS LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2015-10-28",
        "status": "A",
        "authorized_official_last_name": "ZAKHIREH",
        "authorized_official_first_name": "BEHNAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-333-3113",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL GROUP NUMBER",
            "identifier": "3160176976",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP NUMBER",
            "identifier": "CM7411",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2015; 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.