Active NPI
Iyad M Alkhouri MD
- Adolescent and Children Mental Health Clinic/Center
- Chicago, IL
National Provider Identifier
1750769006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- License
- 2084P0800X
- Legal business name
- IYAD M ALKHOURI MD
- Practice address
- 333 N Michigan Ave
Chicago, IL 60601-3901 - Phone
- (630) 846-1644
- Fax
- (847) 440-2641
- NPI assigned
- May 7, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Pami Chowdhary
- Title
- Billing/Credentialing Manager
- Phone
- (630) 846-1644
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 2084P0800X | MI | Primary |
Addresses
Primary practice location
333 N Michigan Ave
Chicago, IL 60601-3901
Mailing address
333 N Michigan Ave
Chicago, IL 60601-3901
Phone (630) 846-1644
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430956800000",
"number": "1750769006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606013901",
"telephone_number": "630-846-1644",
"fax_number": "847-440-2641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N MICHIGAN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606013901",
"telephone_number": "630-846-1644",
"fax_number": "847-440-2641"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IYAD M ALKHOURI MD",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-07",
"last_updated": "2015-05-07",
"status": "A",
"authorized_official_last_name": "CHOWDHARY",
"authorized_official_first_name": "PAMI",
"authorized_official_title_or_position": "BILLING/CREDENTIALING MANAGER",
"authorized_official_telephone_number": "630-846-1644",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "MI",
"license": "2084P0800X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.