Active NPI
Hajat LTD
- Pediatrics Physician
- Alsip, IL
National Provider Identifier
1598855702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- 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, MD
- 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 DirectorySpecialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Pediatrics Physician | 208000000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1617335 | Other | IL | BLUE 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.