NPIMap

Individual provider Active NPI

Nawar Hatoum, MD

  • Maternal & Fetal Medicine Physician
  • Chicago, IL
National Provider Identifier
1679549299
Registry record updated Dec 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
036-085930 Issued in IL
Practice address
2507 N Halsted St
Chicago Maternal Fetal Medicine, S.C
Chicago, IL 60614-9267
Phone
(773) 348-8032
Fax
(773) 348-8042
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 036-085930 IL Primary

Addresses

Primary practice location

2507 N Halsted St
Chicago Maternal Fetal Medicine, S.C
Chicago, IL 60614-9267

Mailing address

2507 N Halsted St
Chicago Maternal Fetal Medicine, S.C
Chicago, IL 60614-9267
Phone (773) 348-8032

Other identifiers 2

IdentifierTypeStateIssuer
036085930MedicaidIL
1633117OtherILBC&BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040805001543 IL Practitioner - Obstetrics/Gynecology 2567433030 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Anthony Health AffiliatesGroup PAC ID 1254321474, 95 clinicians

Practice addresses (Care Compare)

2875 W 19TH St
Chicago, IL 60623-3501
Phone (773) 484-4425

Hospital & facility affiliations

  • Saint Anthony Hospital Hospital, Chicago, IL, CCN 140095

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-085930ILMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Anthony Health Affiliates CurrentSince Apr 10, 2019 Accepting new patients
Pathology Services Illinois, LTD Current Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Presence Healthcare Services CurrentSince Sep 2, 2019 Accepting new patients
Chicago Maternal Fetal Medicine, SC CurrentSince Jul 24, 2022 Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince Aug 10, 2018 Accepting new patients
Presence Healthcare Services Current Accepting new patients
Presence Healthcare Services CurrentSince Sep 2, 2019 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Aug 10, 2018 Accepting new patients
VHS Acquisition Subsidiary Number 3 Inc Past Accepting new patients
Saint Anthony Health Affiliates Past Accepting new patients
Advocate North Side Health Network PastSince Jan 1, 1990 Accepting new patients

Locations

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

29373 Network Pl
Chicago, IL 60673

4177 S Archer Ave
Chicago, IL 60632
Phone (773) 254-2222

62311 Collection Ctr Dr
Chicago, IL 60693

Organizations & group practices 12

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

Hospital & facility affiliations 8

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608768000000",
    "number": "1679549299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 N HALSTED ST",
            "address_2": "CHICAGO MATERNAL FETAL MEDICINE, S.C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606149267",
            "telephone_number": "773-348-8032",
            "fax_number": "773-348-8042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 N HALSTED ST",
            "address_2": "CHICAGO MATERNAL FETAL MEDICINE, S.C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606149267",
            "telephone_number": "773-348-8032",
            "fax_number": "773-348-8042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATOUM",
        "first_name": "NAWAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "IL",
            "license": "036-085930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085930",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC&BS",
            "identifier": "1633117",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.