Organization Active NPI

Psychiatric Consultants of Illinois

  • Geriatric Psychiatry Physician
  • Elmwood Park, IL
National Provider Identifier
1790713634
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
Legal business name
PSYCHIATRIC CONSULTANTS OF ILLINOIS
Practice address
2010 N Harlem Ave
Elmwood Park, IL 60707-3119
Phone
(708) 452-4443
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Yogi Ahluwalia, MD
Title
President
Phone
(708) 452-4443

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0805X Primary

Addresses

Primary practice location

2010 N Harlem Ave
Elmwood Park, IL 60707-3119

Mailing address

2010 N Harlem Ave
Norridge, IL 60706
Phone (708) 452-4443

National Provider Directory

National Provider Directory

Locations

5110 W Chicago Ave
Chicago, IL 60651
Phone (773) 287-2200

7702 Cass Ave
Ste 115
Darien, IL 60561
Phone (630) 493-9516

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790713634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 N HARLEM AVE",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "60706",
            "telephone_number": "708-452-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 N HARLEM AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607073119",
            "telephone_number": "708-452-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC CONSULTANTS OF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AHLUWALIA",
        "authorized_official_first_name": "YOGI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-452-4443",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmwood Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.