Individual provider Active NPI

Enas Zaki Alereifej, BA, MST

  • Developmental Therapist
  • Orland Park, IL
National Provider Identifier
1346844941
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
7304 Evergreen Dr Apt 2B
Orland Park, IL 60462-5303
Phone
(773) 822-5136
NPI assigned
Nov 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Primary

Addresses

Primary practice location

7304 Evergreen Dr Apt 2B
Orland Park, IL 60462-5303

Mailing address

7304 Evergreen Dr Apt 2B
Orland Park, IL 60462-5303
Phone (773) 822-5136

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ereifej.enas@yahoo.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Arts

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1346844941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7304 EVERGREEN DR APT 2B",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625303",
            "telephone_number": "773-822-5136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7304 EVERGREEN DR APT 2B",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604625303",
            "telephone_number": "773-822-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEREIFEJ",
        "first_name": "ENAS",
        "middle_name": "ZAKI",
        "credential": "BA, MST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ereifej.enas@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7304 Evergreen Dr Apt 2B",
            "city": "Orland Park",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604625303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.

Verify at the official NPI Registry.