Active NPI
Akram Razzouk, MD
- Psychiatry Physician
- Westmont, IL
National Provider Identifier
1710938980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036064748
- Practice address
- 999 Oakmont Dr
100
Westmont, IL 60559 - Phone
- (630) 850-2120
- Fax
- (630) 850-2123
- NPI assigned
- May 13, 2006
- Last updated
- Nov 23, 2015
- Sex
- Male
- Sole proprietor
- No
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 | 036064748 | IL | Primary |
Addresses
Primary practice location
999 Oakmont Dr
100
Westmont, IL 60559
Mailing address
999 Oakmont Plaza Dr
100
Westmont, IL 60559-5563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Riverside | Current | Accepting new patients | |
| County of Riverside | Current | Accepting new patients | |
| County of Riverside | Current | Accepting new patients | |
| Akram Razzouk MD SC | Past | Accepting new patients |
Locations
9990 County Farm Rd
Ste 2
Riverside, CA 92503
Phone (951) 358-4790
Interoperability endpoints
- arazzouk132435@direct.llu.edu
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Indio, CA
- NPI 1023122967
-
dba Psychiatric Consultation & Liaison Services (PCLS)
- Community/Behavioral Health Agency
- Riverside, CA
- NPI 1598830432
-
- Clinical Medical Laboratory
- Riverside, CA
- NPI 1952496010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448236800000",
"number": "1710938980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 OAKMONT PLAZA DR",
"address_2": "100",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 OAKMONT DR",
"address_2": "100",
"city": "WESTMONT",
"state": "IL",
"postal_code": "60559",
"telephone_number": "630-850-2120",
"fax_number": "630-850-2123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAZZOUK",
"first_name": "AKRAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-13",
"last_updated": "2015-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036064748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.