Individual provider Active NPI

Saeed Salem Albalawi, MD

  • Colon & Rectal Surgery Physician
  • Chicago, IL
National Provider Identifier
1376845149
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
125.058984 Issued in IL
Practice address
2626 N Ashland Ave
Apartment #1
Chicago, IL 60614-1102
Phone
(347) 922-0293
NPI assigned
Nov 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 125.058984 IL Primary

Addresses

Primary practice location

2626 N Ashland Ave
Apartment #1
Chicago, IL 60614-1102

Mailing address

2626 N Ashland Ave
Apartment #1
Chicago, IL 60614-1102
Phone (347) 922-0293

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125.058984ILMDColon & Rectal Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1290988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290988800000",
    "number": "1376845149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 N ASHLAND AVE",
            "address_2": "APARTMENT #1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141102",
            "telephone_number": "347-922-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 N ASHLAND AVE",
            "address_2": "APARTMENT #1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141102",
            "telephone_number": "347-922-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBALAWI",
        "first_name": "SAEED",
        "middle_name": "SALEM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-29",
        "last_updated": "2010-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "IL",
            "license": "125.058984",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 29, 2010; 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.