Infectious Disease Consultants

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

036102100 Issued in IL

Legal business name

INFECTIOUS DISEASE CONSULTANTS

Practice address

4550 Memorial Dr Ste 360
Belleville, IL 62226-5369

Phone

(618) 222-5999

Fax

(618) 239-9555

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Omer Badahman, MD

Title

Physician

Phone

(618) 222-5999

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1700819562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 KIMBERLY LAKE DR",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262061",
            "telephone_number": "618-355-9970",
            "fax_number": "618-355-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 MEMORIAL DR STE 360",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622265369",
            "telephone_number": "618-222-5999",
            "fax_number": "618-239-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFECTIOUS DISEASE CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "BADAHMAN",
        "authorized_official_first_name": "OMER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "618-222-5999",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036102100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036102100",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney L Hutkowski, ACNP
• HW Holdings
• Idjj SD#428
• Ifath G. Bashiruddin M.D.S.C.
• Illinois Associates in Psychiatry PC
• Infinity-Meds LLP
• Innovative Eye Care Solutions, LTD.
• Inspire Community Homes
• Inspire Community Homes LLC
• Integrated Pain Specialists, LTD

• Infectious Disease Physician in Belleville, IL
• Providers in Belleville, IL by specialty
• Infectious Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.