Haris Medical Group LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

HARIS MEDICAL GROUP LLC

Practice address

240 E Lake St Ste 102
Addison, IL 60101-2873

Phone

(630) 782-9780

Fax

(630) 782-9781

NPI assigned

Dec 11, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Jabeen FatimaNPI 1497301832

Title

Manager

Phone

(630) 847-7880

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

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

• Jabeen Fatima

  • Family Medicine Physician
  • Addison, IL
  • NPI 1497301832
  Medicare reassignment Care Compare group NPD Authorized official
• Mohammad Vaseemuddin, M.D.

  • Internal Medicine Physician
  • Addison, IL
  • NPI 1952453995
  Medicare reassignment Care Compare group NPD
• Nina R Defrias, FNP-C

  • Family Nurse Practitioner
  • Monee, IL
  • NPI 1851961916
  Medicare reassignment NPD

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743811200000",
    "number": "1710352091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 OGDEN AVE STE B",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152740",
            "telephone_number": "630-847-7880",
            "fax_number": "630-559-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E LAKE ST STE 102",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012873",
            "telephone_number": "630-782-9780",
            "fax_number": "630-782-9781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1127 S ARLINGTON HTS RD",
            "address_purpose": "LOCATION",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "60005",
            "country_code": "US",
            "telephone_number": "630-782-9780",
            "fax_number": "630-782-9781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1252 Ogden Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605152740",
            "country_code": "US",
            "telephone_number": "630-782-9780",
            "fax_number": "630-782-9781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HARIS MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2025-04-05",
        "certification_date": "2025-04-05",
        "status": "A",
        "authorized_official_last_name": "FATIMA",
        "authorized_official_first_name": "JABEEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-847-7880",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• H Demitri Medical SC
• Julia Hall, LPC
• Stacey L Hall, PHARM D
• Hamdard Health Alliance
• Mohammad Hamid
• Toseef Hasan, O.D.
• Amal M. Hassan, O.D.
• Healthy Connection Physical Medicine Addison
• Hans Jonnathan Henriquez, M.D.
• Rolando Henriquez, M.D.

• Nephrology Physician in Addison, IL
• Providers in Addison, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.