Amir Ali Abusharif, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Olympia Fields, IL
NPI 1619663986 · NPPES record last updated Apr 11, 2023
Key facts
- NPI
- 1619663986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 20201 Crawford Ave
Olympia Fields, IL 60461-1010 - Phone
- (708) 747-4000
- NPI assigned
- Apr 11, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230719000535 | IL | Order and Referring Only - Internal Medicine |
9032579362 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
20201 Crawford Ave
Olympia Fields, IL 60461-1010
Mailing address
15570 Helen LN
Orland Park, IL 60462-7724
Phone (708) 407-6195
Other providers in Olympia Fields, IL
- Marwa Abdul Basith
- Juwariah Fatima Abdul
- Sara Abdulrasoul
- Veronica Oluwarotimi Abegunde
- Abliss Healthcare Inc.
- Jennifer Anne Ackerman
- Gremah Malam Adam Aboubacar
- Tejaswini Addanki
- Addus Healthcare Inc
- Adiuvare Health LLC
All providers in Olympia Fields, IL · Student in an Organized Health Care Education/Training Program in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.