Issan Health Care Group LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ISSAN HEALTH CARE GROUP LTD

Practice address

815 N Larkin Ave Ste 100
Joliet, IL 60435-3449

Phone

(815) 744-7400

Fax

(157) 447-4358

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Nazeer Shaik, MDNPI 1295813996

Title

President

Phone

(708) 458-7170

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

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

• Nazeer Shaik, MD

  • Internal Medicine Physician
  • Summit, IL
  • NPI 1295813996
  Medicare reassignment NPD Authorized official
• Wasim Khawaja, M.D.

  • Hospitalist Physician
  • Olympia Fields, IL
  • NPI 1750322491
  NPD (past)
• Irfan K Moinuddin, M.D.

  • Nephrology Physician
  • Crystal Lake, IL
  • NPI 1033163449
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1770516957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N LARKIN AVE STE 100",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353449",
            "telephone_number": "815-744-7400",
            "fax_number": "157-447-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N LARKIN AVE STE 100",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353449",
            "telephone_number": "815-744-7400",
            "fax_number": "157-447-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISSAN HEALTH CARE GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "SHAIK",
        "authorized_official_first_name": "NAZEER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-458-7170",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01606583",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG5049",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• International Dental Joliet
• Angela Intili, M.D.
• Ipm Service Company LLC
• Mayra Yadira Isidoro
• Sakeba N Issa, M.D.
• Tracey Ivan
• Iyad Awadallah DMD PC
• J D Brown & Co Inc
• J D Brown & Co Inc
• J.E. Bertolini MD, S.C.

• Internal Medicine Physician in Joliet, IL
• Providers in Joliet, 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 Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.