Sofia M Adawy, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036.129514 Issued in IL

Practice address

4747-51 West Cermak Road
Cicero, IL 60804-2508

Phone

(312) 996-2000

Fax

(708) 652-4745

NPI assigned

May 22, 2009

Last updated

Oct 12, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• The Board of Trustees of the University of Illinois

  • Anatomic Pathology Physician
  • Chicago, IL
  • NPI 1386863819
  NPD
• Board of Trustees Fo the University of Illinois

  dba UIH-Mile Square Health Center at Cicero IHH

  • Case Management Agency
  • Cicero, IL
  • NPI 1548736994
  NPD (past)

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1427283290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 W. WASHINGTON BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122428",
            "telephone_number": "312-413-1261",
            "fax_number": "312-413-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747-51 WEST CERMAK ROAD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "608042508",
            "telephone_number": "312-996-2000",
            "fax_number": "708-652-4745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAWY",
        "first_name": "SOFIA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-22",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.129514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036.129514",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Narwilito Barrales Abistado, FNP-C
• Accelerated Rehabilitation Centers, LTD (Athletico Physical Therapy)
• Access Community Health Network
• Bridget Slevin Adamjee, APRN, DNP, FNP-BC
• Mary A Adams, CADC
• Advanced Center for Health & Pain Management
• Ana Cristina Aguilera-Estrada, RESPIRATORYTHERAPIST
• Lolita Aguinaga, L.C.S.W
• Lily Lizzethe Alatorre, B.S.
• Atzel Albino Martinez, PA-C

• Family Medicine Physician in Cicero, IL
• Providers in Cicero, 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 Oct 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.