Nadeem Ansari, M.D.,S.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036071794 Issued in IL

Legal business name

NADEEM ANSARI, M.D.,S.C.

Practice address

401 N Wall St
Ste. 102
Kankakee, IL 60901-2934

Phone

(815) 937-4404

Fax

(815) 937-4516

NPI assigned

May 11, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Nadeem Ansari, M.D.

Title

President

Phone

(815) 937-4404

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1336694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336694400000",
    "number": "1730448770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N WALL ST",
            "address_2": "STE. 102",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012934",
            "telephone_number": "815-937-4404",
            "fax_number": "815-937-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N WALL ST",
            "address_2": "STE. 102",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012934",
            "telephone_number": "815-937-4404",
            "fax_number": "815-937-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NADEEM ANSARI, M.D.,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-11",
        "last_updated": "2012-05-11",
        "status": "A",
        "authorized_official_last_name": "ANSARI",
        "authorized_official_first_name": "NADEEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-937-4404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036071794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rihab Mostafa
• Suchitra Muralidharan
• Michael Murphy, D.O
• Mark James Murray, RPH
• Joshua Nathan Musk
• Mukhtar Hussain Naqvi, DO
• Nashib Hashmi MD PC (Kidney Center of Kankakee)
• Brianna C Neal, APRN
• Nicole S. Nettgen, CNM
• Neurology LTD

• Internal Medicine Physician in Kankakee, IL
• Providers in Kankakee, 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 May 11, 2012; 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.