Dr Ashraf Abourahma M D LTD

Primary specialty

SpecialistTaxonomy code 174400000X

License

036086472 Issued in IL

Legal business name

DR ASHRAF ABOURAHMA M D LTD

Practice address

5702 W 95TH St
Suite B
Oak Lawn, IL 60453-2345

Phone

(708) 952-1040

Fax

(708) 952-1060

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ashraf H Abourahma, M.D.NPI 1972561975

Title

President

Phone

(708) 952-1040

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashraf H Abourahma, M.D.

  • Cardiovascular Disease Physician
  • Oak Lawn, IL
  • NPI 1972561975

  IL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1497785141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5702 W 95TH ST",
            "address_2": "SUITE B",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532345",
            "telephone_number": "708-952-1040",
            "fax_number": "708-952-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5702 W 95TH ST",
            "address_2": "SUITE B",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532345",
            "telephone_number": "708-952-1040",
            "fax_number": "708-952-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ASHRAF ABOURAHMA M D LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ABOURAHMA",
        "authorized_official_first_name": "ASHRAF",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-952-1040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036086472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060069634",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "1626734",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036086472",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "199793062487",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7418171",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Doornbosch, NP
• Sharon Dorog
• Jeanne Dougherty, APN
• Kerri Douglas, FNP-BC
• Jessica Lynn Dowling, MS, CGC
• Dr Dale S Raines & Associates LTD
• Dr. James Hogg & Associates LLC
• Dr.Jack Ruby Chartered
• Jessica Marie Drafke, LSW
• Peter B. Dragisic, M.D.

• All providers in Oak Lawn, IL
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.