Individual provider Active NPI

Solmaz Rahmani, DO

  • Family Medicine Physician
  • Flossmoor, IL
National Provider Identifier
1518379239
Registry record updated Aug 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-142502 Issued in IL
Practice address
19550 Governors Hwy Ste 3800
Flossmoor, IL 60422-2147
Phone
(708) 342-3000
Fax
(708) 798-7072
NPI assigned
May 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-142502 IL
Family Medicine Physician 207Q00000X 036-142502 IL Primary

Addresses

Primary practice location

19550 Governors Hwy Ste 3800
Flossmoor, IL 60422-2147

Mailing address

27702 Network PL
Chicago, IL 60673-1273
Phone (708) 862-7674

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170905002475 IL Practitioner - Emergency MedicinePractitioner - Family Practice 8921303421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ucm Medical Group Sub LLCGroup PAC ID 4688635337, 101 clinicians

Practice addresses (Care Compare)

19550 Governors Hwy
Suite 3000
Flossmoor, IL 60422-2150
Phone (708) 915-8660

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036-142502ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ucm Medical Group Sub, LLC Family Medicine CurrentSince Oct 1, 2017 Accepting new patients
Ingalls Memorial Hospital Past Accepting new patients

Locations

27702 Network Pl
Chicago, IL 60673

19550 Governors Hwy
Ste 3800
Flossmoor, IL 60422

19550 Governors Hwy
Ste 3000
Flossmoor, IL 60422
Phone (708) 794-2900

19550 Governors Hwy
Ste 3300
Flossmoor, IL 60422
Phone (708) 915-7471

19550 Governors Hwy
Ste 2000
Flossmoor, IL 60422
Phone (708) 272-6606

1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300

Interoperability endpoints

  • Direct secure messaging: srahmani179470@uchospital.direct-ci.com

Organizations & group practices 2

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1518379239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27702 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731273",
            "telephone_number": "708-862-7674",
            "fax_number": "708-862-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 GOVERNORS HWY STE 3800",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222147",
            "telephone_number": "708-342-3000",
            "fax_number": "708-798-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHMANI",
        "first_name": "SOLMAZ",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-142502",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-142502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flossmoor, IL

Sources for this page

Verify at the official NPI Registry.