Active NPI
Abdullah K Sallaj, M.D.
- Psychiatry Physician
- Chicago, IL
National Provider Identifier
1679739197
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036124109
- Practice address
- 561 W Diversey Pkwy Ste 215
Chicago, IL 60614-1682 - Phone
- (773) 906-4546
- Fax
- (773) 304-4549
- NPI assigned
- Aug 4, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036124109 | IL | Primary |
Addresses
Primary practice location
561 W Diversey Pkwy Ste 215
Chicago, IL 60614-1682
Mailing address
561 W Diversey Pkwy
Suite 215
Chicago, IL 60614-6068
Phone (773) 906-4546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036124109 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Able Psychiatry LLC | Psychiatry | Current | Accepting new patients |
Locations
561 W Diversey Pkwy
Ste 215
Chicago, IL 60614
Phone (773) 906-4546
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699833600000",
"number": "1679739197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "561 W DIVERSEY PKWY",
"address_2": "SUITE 215",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606146068",
"telephone_number": "773-906-4546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "561 W DIVERSEY PKWY STE 215",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141682",
"telephone_number": "773-906-4546",
"fax_number": "773-304-4549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALLAJ",
"first_name": "ABDULLAH",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-04",
"last_updated": "2023-11-13",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036124109",
"primary": true
}
],
"identifiers": [],
"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 Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.