Active NPI
Maryam Ahsan, DC
- Chiropractor
- Schaumburg, IL
National Provider Identifier
1497863617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038010462
- Practice address
- 821 E Schaumburg Rd
Suite a
Schaumburg, IL 60194-3654 - Phone
- (844) 552-2225
- Fax
- (630) 429-9730
- NPI assigned
- Aug 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038010462 | IL | Primary |
Addresses
Primary practice location
821 E Schaumburg Rd
Suite a
Schaumburg, IL 60194-3654
Mailing address
821 E Schaumburg Rd
Suite a
Schaumburg, IL 60194-3654
Phone (630) 289-2225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K33712 | Other | IL | MEDICARE # |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038010462 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiro One Wellness Center of Oakbrook SC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Oak Brook, IL
- NPI 1881781045
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500249600000",
"number": "1497863617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 E SCHAUMBURG RD",
"address_2": "SUITE A",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601943654",
"telephone_number": "630-289-2225",
"fax_number": "630-429-9730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 E SCHAUMBURG RD",
"address_2": "SUITE A",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601943654",
"telephone_number": "844-552-2225",
"fax_number": "630-429-9730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHSAN",
"first_name": "MARYAM",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-28",
"last_updated": "2017-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038010462",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE #",
"identifier": "K33712",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.