Haralambos Hatzidimitriadis, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036069054 Issued in IL

Practice address

3960 N Harlem Ave
Chicago, IL 60634-2219

Phone

(773) 658-2300

Fax

(773) 658-2305

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• H Demitri Medical SC

  • Internal Medicine Physician
  • Addison, IL
  • NPI 1275729287
  NPD (past) Authorized official
• H Demitri Medical SC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1811064918
  Authorized official Same address or phone
• Bonaventure Medical Foundation, LLC

  dba Alexian Brothers Medical Foundation

  • Family Medicine Physician
  • Elk Grove Village, IL
  • NPI 1588775647
  NPD (past)
• George C Karabelas MD SC

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1417126053
  NPD (past)

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200873600000",
    "number": "1780766170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606342219",
            "telephone_number": "773-658-2300",
            "fax_number": "773-658-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606342219",
            "telephone_number": "773-658-2300",
            "fax_number": "773-658-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATZIDIMITRIADIS",
        "first_name": "HARALAMBOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036069054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036069054",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD PI",
            "identifier": "01634343",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yousef A. Y. Hattab, MD
• Adina Hattar, PA-C
• Reagan Hattaway, MD
• Kelli Nicole Hatter, MD
• Kehinde A. Hattisburg
• Nicholas Michael Hatzis, M.D.
• Devin Renee Haub, FNP-C
• Amanda L Hauck, M.D.
• Garrett Hauck, MD
• Jessica Rose Hauert, MOT, OTR/L

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, 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 Jan 21, 2008; 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.