Addison Medical Office, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ADDISON MEDICAL OFFICE, INC

Practice address

11 N Addison Rd
Addison, IL 60101-3805

Phone

(630) 833-5530

Fax

(630) 833-5560

NPI assigned

Mar 9, 2011

Last updated

Mar 9, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ayesha Fareeduddin, MD

Title

Owner

Phone

(847) 828-3432

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jorge Sfeir, M.D.

  • Obstetrics & Gynecology Physician
  • Aurora, IL
  • NPI 1467501932
  NPD (past)

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1710285143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 N ADDISON RD",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601013805",
            "telephone_number": "630-833-5530",
            "fax_number": "630-833-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N ADDISON RD",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601013805",
            "telephone_number": "630-833-5530",
            "fax_number": "630-833-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDISON MEDICAL OFFICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "FAREEDUDDIN",
        "authorized_official_first_name": "AYESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-828-3432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addison Fire Protection District No 1
• Addison Medical Associates LTD (Medical Square)
• Addison Medical Square, LTD.
• Addison Pharmacy & Medical Supply
• Addison Pharmacy Inc
• Addison Podiatry Center PLLC
• Addison School District 4

• Internal Medicine Physician in Addison, IL
• Providers in Addison, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.