Active NPI
Ahmad Bastani MD
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1316908965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- AHMAD BASTANI MD
- Practice address
- 6033 N Sheridan Rd
Suite S-8
Chicago, IL 60660 - Phone
- (773) 506-9600
- Fax
- (773) 506-9655
- NPI assigned
- Mar 31, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ahmad Bastani, MD
- Title
- MD
- Phone
- (773) 506-9600
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | IL | Primary |
Addresses
Primary practice location
6033 N Sheridan Rd
Suite S-8
Chicago, IL 60660
Mailing address
6033 N Sheridan Rd
Suite S-8
Chicago, IL 60660
Phone (773) 506-9600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1606175 | Other | IL | BCBS |
| 4476749 | Other | IL | AETNA |
National Provider Directory
National Provider DirectoryLocations
6033 N Sheridan Rd
Ste S8
Chicago, IL 60660
Phone (773) 506-9600
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.
-
- Family Medicine Physician
- Chicago, IL
- NPI 1972564524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1316908965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6033 N SHERIDAN RD",
"address_2": "SUITE S-8",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60660",
"telephone_number": "773-506-9600",
"fax_number": "773-506-9655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6033 N SHERIDAN RD",
"address_2": "SUITE S-8",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60660",
"telephone_number": "773-506-9600",
"fax_number": "773-506-9655"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AHMAD BASTANI MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BASTANI",
"authorized_official_first_name": "AHMAD",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "773-506-9600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1606175",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4476749",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.