Individual provider Active NPI

Nazem Alzalam, M.D.

  • Pediatrics Physician
  • Chicago Ridge, IL
National Provider Identifier
1386670941
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036087470 Issued in IL
Practice address
9830 Ridgeland Ave Ste 2
Chicago Ridge, IL 60415-2668
Phone
(708) 599-8000
Fax
(708) 599-8006
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036087470 IL Primary

Addresses

Primary practice location

9830 Ridgeland Ave Ste 2
Chicago Ridge, IL 60415-2668

Mailing address

8550 S Harlem Ave Ste B
Bridgeview, IL 60455-1775
Phone (708) 599-8000

Other practice location 1

1845 W 47th St
Chicago, IL 60609-3844
Phone (773) 927-5524

Other identifiers 1

IdentifierTypeStateIssuer
036087470MedicaidIL

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
036087470ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aesthetic Care Solutions LLC CurrentSince Oct 27, 2024 Accepting new patients
Zalam Medical Center, LTD Pediatrics CurrentSince Nov 1, 2022 Accepting new patients
Orland Pediatrics, Inc Pediatrics Current Accepting new patients

Locations

8550 S Harlem Ave
Ste B
Bridgeview, IL 60455
Phone (708) 598-2000

9830 Ridgeland Ave
Ste 2
Chicago Ridge, IL 60415
Phone (708) 599-8000

7808 W College Dr
Unit Ne
Palos Heights, IL 60463
Phone (708) 599-8000

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1386670941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8550 S HARLEM AVE STE B",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604551775",
            "telephone_number": "708-599-8000",
            "fax_number": "888-383-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9830 RIDGELAND AVE STE 2",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152668",
            "telephone_number": "708-599-8000",
            "fax_number": "708-599-8006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1845 W 47th St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606093844",
            "country_code": "US",
            "telephone_number": "773-927-5524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALZALAM",
        "first_name": "NAZEM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036087470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036087470",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; 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.