NPIMap

Organization Active NPI

Sher Ahsan K Niazi Inc

Doing business as Joliet Pediatrics And Family Care

  • Pediatrics Physician
  • Joliet, IL
National Provider Identifier
1790942928
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
036089109 Issued in IL
Legal business name
SHER AHSAN K NIAZI INC
Doing business as
Joliet Pediatrics And Family Care
Practice address
1721 Glenwood Ave
Joliet, IL 60435-5835
Phone
(815) 741-8888
Fax
(815) 730-3323
NPI assigned
May 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Sher Ahsan K Niazi, MDNPI 1902972516
Title
President
Phone
(815) 741-8888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 036089109 IL Primary

Addresses

Primary practice location

1721 Glenwood Ave
Joliet, IL 60435-5835

Mailing address

1721 Glenwood Ave
Joliet, IL 60435-5835
Phone (815) 741-8888

Other identifiers 2

IdentifierTypeStateIssuer
9922502OtherILBLUE CROSS AND BLUE SHIELD OF ILLINOIS
036089109MedicaidIL

Other names 1

  • Joliet Pediatrics And Family Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Joliet Pediatrics and Family Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1790942928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 GLENWOOD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355835",
            "telephone_number": "815-741-8888",
            "fax_number": "815-730-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 GLENWOOD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355835",
            "telephone_number": "815-741-8888",
            "fax_number": "815-730-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHER AHSAN K NIAZI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "NIAZI",
        "authorized_official_first_name": "SHER AHSAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-741-8888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036089109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF ILLINOIS",
            "identifier": "9922502",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089109",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joliet Pediatrics And Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.