Individual provider Active NPI

Aisha Jaleel, MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1619968203
Registry record updated Feb 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036060798 Issued in IL
Practice address
3240 W Franklin Blvd
Chicago, IL 60624-1511
Phone
(773) 854-7500
Fax
(773) 287-7873
NPI assigned
Nov 2, 2005
Last updated
Feb 12, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036060798 IL Primary

Addresses

Primary practice location

3240 W Franklin Blvd
Chicago, IL 60624-1511

Mailing address

3240 W Franklin Blvd
Chicago, IL 60624-1511
Phone (773) 854-7500

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
I20101020000058 IL Practitioner - Family PracticePractitioner - General PracticePractitioner - Emergency MedicinePractitioner - Pathology 8224221577 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine, General Practice, Pathology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Humboldt Park HealthGroup PAC ID 8921907072, 106 clinicians

Practice addresses (Care Compare)

1044 N Francisco Ave
Chicago, IL 60622-2743
Phone (773) 292-8227

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036060798ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Pathology Associates, LTD. CurrentSince Oct 30, 2018 Accepting new patients
Fairoaks Medical LLC CurrentSince Jun 12, 2020 Accepting new patients
Humboldt Park Health Family Medicine CurrentSince Aug 1, 2013 Accepting new patients

Locations

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

1044 N Mozart St
Ste 100
Chicago, IL 60622
Phone (773) 292-8300

1044 N Mozart St
Ste 500
Chicago, IL 60622
Phone (773) 292-4503

1044 N Mozart St
Ste 503
Chicago, IL 60622
Phone (773) 772-9607

1252 Ogden Ave
Downers Grove, IL 60515
Phone (630) 963-6912

1252 Ogden Ave
Ste A
Downers Grove, IL 60515
Phone (630) 782-9780

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1619968203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 W FRANKLIN BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606241511",
            "telephone_number": "773-854-7500",
            "fax_number": "773-287-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 W FRANKLIN BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606241511",
            "telephone_number": "773-854-7500",
            "fax_number": "773-287-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALEEL",
        "first_name": "AISHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036060798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.