Dr.Samer Abubakr, LTD.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

DR.SAMER ABUBAKR, LTD.

Practice address

4403 W Lawrence Ave
Suite: 200
Chicago, IL 60630-2513

Phone

(773) 736-1555

Fax

(773) 736-1552

NPI assigned

Jun 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Samer M Abubakr, M.D.

Title

President

Phone

(773) 736-1555

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1770744856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 W LAWRENCE AVE",
            "address_2": "SUITE: 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302513",
            "telephone_number": "773-736-1555",
            "fax_number": "773-736-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 W LAWRENCE AVE",
            "address_2": "SUITE: 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302513",
            "telephone_number": "773-736-1555",
            "fax_number": "773-736-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.SAMER ABUBAKR, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ABUBAKR",
        "authorized_official_first_name": "SAMER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-736-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036114548",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Adult Mental Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.