Organization Active NPI

Hajat LTD

  • Pediatrics Physician
  • Alsip, IL
National Provider Identifier
1598855702
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
HAJAT LTD
Practice address
11808 S Pulaski Rd
Alsip, IL 60803-1608
Phone
(708) 489-6200
Fax
(708) 489-6249
NPI assigned
Oct 16, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Gulam A Hajat, MDNPI 1720182074
Title
President
Phone
(630) 272-4265

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 3

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

National Provider Directory

National Provider Directory

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X Primary

Addresses

NPPES NPI Registry

Primary practice location

11808 S Pulaski Rd
Alsip, IL 60803-1608

Mailing address

28 Deer Path TRL
Burr Ridge, IL 60527-6324
Phone (630) 272-4265

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1617335OtherILBLUE CROSS BLUE SHIELD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 10, 2014.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1598855702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 DEER PATH TRL",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605276324",
            "telephone_number": "630-272-4265",
            "fax_number": "708-489-6249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11808 S PULASKI RD",
            "city": "ALSIP",
            "state": "IL",
            "postal_code": "608031608",
            "telephone_number": "708-489-6200",
            "fax_number": "708-489-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAJAT LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "HAJAT",
        "authorized_official_first_name": "GULAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-272-4265",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1617335",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alsip, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; 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.