Azam Abbasi

Primary specialty

Vascular Sonography Radiologic TechnologistTaxonomy code 2471V0105X

Practice address

17 W 434 Rooselvet Rd
Oakbrook Tarrece, IL 60181

Phone

(630) 279-6033

NPI assigned

Aug 20, 2006

Last updated

Aug 2, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Lakeview Diagnostics Inc

  • Sonography Radiologic Technologist
  • Wilmette, IL
  • NPI 1093810681
  NPD Authorized official
• Lakeview Diagnostics Inc.

  • Clinical Medical Laboratory
  • Wilmette, IL
  • NPI 1548615149
  NPD Authorized official
• Azam Abbasi

  dba Dua Medicar

  • Non-emergency Medical Transport (VAN)
  • Wilmette, IL
  • NPI 1255697579
  Authorized official Same address or phone

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501632000000",
    "number": "1508971656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 LAVERGNE AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "60181",
            "telephone_number": "773-910-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W 434 ROOSELVET RD",
            "city": "OAKBROOK TARRECE",
            "state": "IL",
            "postal_code": "60181",
            "telephone_number": "630-279-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBASI",
        "first_name": "AZAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2017-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.

Verify at the official NPI Registry.