Jfa Medical Group SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036062868 Issued in IL

Legal business name

JFA MEDICAL GROUP SC

Practice address

732 S Pulaski Rd
Chicago, IL 60624-4058

Phone

(773) 533-1621

NPI assigned

Mar 11, 2010

Last updated

Mar 11, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mohammed J Ali, M.D.NPI 1164552055

Title

Owner

Phone

(773) 533-1621

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 3

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.

• Mohammed Jawad Ali, MD

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1164552055
  Medicare reassignment NPD Authorized official
• Waqar Ahsan, DO

  • Family Medicine Physician
  • Utica, NY
  • NPI 1851952279

  IL

  Medicare reassignment
• Rashda Khan, M.D.

  • Internal Medicine Physician
  • Hickory Hills, IL
  • NPI 1609935816
  NPD

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1356664833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 SOMERSET RD",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605275430",
            "telephone_number": "630-455-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606244058",
            "telephone_number": "773-533-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JFA MEDICAL GROUP SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-533-1621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036062868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036062868",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jewish Vocational Service and Employment Center
• Joanna Nithila Jeyachandran
• Praveen Jeyaseelan, MD
• Kimberly Jezek-Tisch
• Sarah Jean Jeziorski
• JFK Enterprise, LLC
• JG Health & Wellness Inc
• JG Therapy PLLC (Increment Therapy)
• JH Therapy Services
• Aandrei Jivendra Jha, M.D

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.