Organization Active NPI

Amer & Associates SC

  • Psychiatry Physician
  • Bloomingdale, IL
National Provider Identifier
1366507071
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036094658 Issued in IL
Legal business name
AMER & ASSOCIATES SC
Practice address
121 Fairfield Way
240
Bloomingdale, IL 60108-1588
Phone
(630) 351-1770
Fax
(630) 629-3597
NPI assigned
Dec 22, 2006
Last updated
Apr 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Authorized official

Name
Emad M Amer, MDNPI 1700992799
Title
Whoner
Phone
(630) 351-1770

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)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 036094658 IL Primary

Addresses

Primary practice location

121 Fairfield Way
240
Bloomingdale, IL 60108-1588

Mailing address

69 Spring Ave
Glen Ellyn, IL 60137-5823
Phone (630) 351-1770

Other identifiers 2

IdentifierTypeStateIssuer
2232005OtherILBCBS
036034658MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041012000361 IL Part B Supplier - Clinic/Group Practice 5294795654 Receives reassigned benefits from 2 practitioners
Practice locations: Oak Brook, IL; W Chicago, IL; Glendale Heights, IL; Bloomingdale, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366588800000",
    "number": "1366507071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 SPRING AVE",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375823",
            "telephone_number": "630-351-1770",
            "fax_number": "630-858-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 FAIRFIELD WAY",
            "address_2": "240",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081588",
            "telephone_number": "630-351-1770",
            "fax_number": "630-629-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMER & ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2013-04-22",
        "status": "A",
        "authorized_official_last_name": "AMER",
        "authorized_official_first_name": "EMAD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "WHONER",
        "authorized_official_telephone_number": "630-351-1770",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036094658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2232005",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036034658",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2013; 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.