Organization Active NPI

Tony J Nahhas MD SC

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1356590137
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036088623 Issued in IL
Legal business name
TONY J NAHHAS MD SC
Practice address
6444 N Central Ave
Chicago, IL 60646-2935
Phone
(773) 631-5858
Fax
(773) 631-5895
NPI assigned
Sep 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Authorized official

Name
Tony J Nahhas, MD
Title
President
Phone
(773) 631-5858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036088623 IL Primary

Addresses

Primary practice location

6444 N Central Ave
Chicago, IL 60646-2935

Mailing address

6444 N Central Ave
Chicago, IL 60646-2935
Phone (773) 631-5858

Other identifiers 1

IdentifierTypeStateIssuer
036088623MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1221523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1356590137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6444 N CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606462935",
            "telephone_number": "773-631-5858",
            "fax_number": "773-631-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6444 N CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606462935",
            "telephone_number": "773-631-5858",
            "fax_number": "773-631-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONY J NAHHAS MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-16",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "NAHHAS",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-631-5858",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036088623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036088623",
            "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 Nov 10, 2008; 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.