Active NPI
Advanced Pulmonary Group LLC
- Pulmonary Disease Physician
- Burr Ridge, IL
National Provider Identifier
1588319735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- ADVANCED PULMONARY GROUP LLC
- Practice address
- 6081 Keller Dr
Burr Ridge, IL 60527-8124 - Phone
- (708) 539-6044
- NPI assigned
- Feb 16, 2022
- Last updated
- Aug 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mohamed Zakkar, MD
- Title
- President
- Phone
- (708) 539-6044
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | NU | ||
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | NU | ||
| Pulmonary Disease Physician | 207RP1001X | NU | Primary | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | NU |
Addresses
Primary practice location
6081 Keller Dr
Burr Ridge, IL 60527-8124
Mailing address
6081 Keller Dr
Burr Ridge, IL 60527-8124
Phone (708) 539-6044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pulmonary Disease Physician
- Chicago Ridge, IL
- NPI 1285646828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659571200000",
"number": "1588319735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6081 KELLER DR",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605278124",
"telephone_number": "708-539-6044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6081 KELLER DR",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605278124",
"telephone_number": "708-539-6044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED PULMONARY GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-16",
"last_updated": "2022-08-04",
"certification_date": "2022-08-04",
"status": "A",
"authorized_official_last_name": "ZAKKAR",
"authorized_official_first_name": "MOHAMED",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-539-6044",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burr Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.