Organization Active NPI

Ali Riazi M.D. SC

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1649463381
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
36046938 Issued in IL
Legal business name
ALI RIAZI M.D. SC
Practice address
1431North Clairmont
Chicago, IL 60622
Phone
(708) 447-1220
NPI assigned
Aug 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Authorized official

Name
Dr. Ali Riazi
Title
Owner
Phone
(708) 447-1220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 36046938 IL Primary

Addresses

Primary practice location

1431North Clairmont
Chicago, IL 60622

Mailing address

725 Chestnut Ave
Wilmette, IL 60091-1741

Other identifiers 1

IdentifierTypeStateIssuer
0021604495OtherILBLUE CROSS

National Provider Directory

National Provider Directory

Locations

1431 N Western Ave
Ste 212
Chicago, IL 60622
Phone (773) 292-0320

1425 W Estes Ave
Chicago, IL 60626
Phone (773) 923-4780

1406 Chicago Ave
Evanston, IL 60201
Phone (847) 328-6503

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1649463381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 CHESTNUT AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431NORTH CLAIRMONT",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60622",
            "telephone_number": "708-447-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALI RIAZI M.D. SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "RIAZI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-447-1220",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36046938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0021604495",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.