Active NPI
Nader Beshay MD SC
- Internal Medicine Physician
- Hazel Crest, IL
National Provider Identifier
1376694299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036084972
- Legal business name
- NADER BESHAY MD SC
- Practice address
- 3330 W 177TH St Ste 3H
Hazel Crest, IL 60429-2186 - Phone
- (708) 922-1866
- Fax
- (708) 922-3803
- NPI assigned
- Jan 16, 2007
- 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
- Dr. Nader M Beshay, MD
- Title
- Physician
- Phone
- (708) 922-1866
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036084972 | IL | Primary |
Addresses
Primary practice location
3330 W 177TH St Ste 3H
Hazel Crest, IL 60429-2186
Mailing address
3330 W 177TH St Ste 3H
Hazel Crest, IL 60429-2186
Phone (708) 922-1866
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14D1041814 | Other | IL | CLIA WAIVER |
| 036084972 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
3330 W 177th St
Ste 3H
Hazel Crest, IL 60429
Phone (708) 473-7084
17680 Kedzie Ave
Ste 204
Hazel Crest, IL 60429
Phone (708) 922-1866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1687305600000",
"number": "1376694299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3330 W 177TH ST STE 3H",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604292186",
"telephone_number": "708-922-1866",
"fax_number": "708-922-3803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 W 177TH ST STE 3H",
"city": "HAZEL CREST",
"state": "IL",
"postal_code": "604292186",
"telephone_number": "708-922-1866",
"fax_number": "708-922-3803"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NADER BESHAY MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-16",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A",
"authorized_official_last_name": "BESHAY",
"authorized_official_first_name": "NADER",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "708-922-1866",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": "036084972",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA WAIVER",
"identifier": "14D1041814",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036084972",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hazel Crest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.