Active NPI
Jeries J Alsahoury, DO
- Infectious Disease Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 036165136
- Practice address
- 1725 W Harrison St
Chicago, IL 60612-3841 - Phone
- (312) 942-5495
- Fax
- (312) 942-5727
- NPI assigned
- Jun 25, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125076431 | IL | |
| Infectious Disease Physician | 207RI0200X | 036165136 | IL | Primary |
Addresses
Primary practice location
1725 W Harrison St
Chicago, IL 60612-3841
Mailing address
1725 W Harrison St
Chicago, IL 60612-3841
Phone (312) 942-5495
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13755 Cicero Ave
Crestwood, IL 60418-1824
Phone (888) 220-6432
Hospital & facility affiliations
- Silver Cross Hospital and Medical Centers
- Saint Joseph Medical Center
- Palos Community Hospital
- Advocate Trinity Hospital
- Riverside Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036165136 | IL | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Infectious Disease Consultants, LLC | Infectious Disease | Current | Accepting new patients |
| Metro Infectious Disease Consultants LLC | Infectious Disease | Current | Accepting new patients |
| Metro Infectious Disease Consultants LLC | Infectious Disease | Current | Accepting new patients |
Locations
400 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 226-8100
901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201
310 W Plaza Dr
Carterville, IL 62918
Phone (618) 525-0719
13755 Cicero Ave
Crestwood, IL 60418
Phone (708) 385-2400
1435 N Randall Rd
Ste 404
Elgin, IL 60123
Phone (847) 741-5091
519 E Lincoln Hwy
New Lenox, IL 60451
1300 Franklin Ave
Ste 230C
Normal, IL 61761
Phone (309) 585-6029
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.
-
- Infectious Disease Physician
- Burr Ridge, IL
- NPI 1235125717
-
- Infectious Disease Physician
- Normal, IL
- NPI 1811154354
-
- Infectious Disease Physician
- Jonesboro, GA
- NPI 1770307191
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hazel Crest, IL
- NPI 1467560128
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1558479212
-
- Psychiatric Hospital Unit
- Palos Heights, IL
- NPI 1184699118
-
- General Acute Care Hospital
- Palos Heights, IL
- NPI 1851386692
-
- General Acute Care Hospital
- Kankakee, IL
- NPI 1538208210
-
- General Acute Care Hospital
- Joliet, IL
- NPI 1760220198
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1427675495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1725 W HARRISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123841",
"telephone_number": "312-942-5495",
"fax_number": "312-942-5727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 W HARRISON ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123841",
"telephone_number": "312-942-5495",
"fax_number": "312-942-5727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALSAHOURY",
"first_name": "JERIES",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-25",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125076431",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "IL",
"license": "036165136",
"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 Jun 20, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.