Active NPI
Ramisa Fariha Alam, DO
- Pediatrics Physician
- Park Ridge, IL
National Provider Identifier
1861296063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 125.086612
- Practice address
- Yacktman Pavilion 1675 Dempster
Park Ridge, IL 60068-1143 - Phone
- (847) 318-9300
- NPI assigned
- Apr 4, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 125.086612 | IL | Primary |
Addresses
Primary practice location
Yacktman Pavilion 1675 Dempster
Park Ridge, IL 60068-1143
Mailing address
1555 Ellinwood Ave Apt 520
Des Plaines, IL 60016-4599
Phone (602) 513-9703
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.086612 | IL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751414400000",
"number": "1861296063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 ELLINWOOD AVE APT 520",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600164599",
"telephone_number": "602-513-9703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "YACKTMAN PAVILION 1675 DEMPSTER",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681143",
"telephone_number": "847-318-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALAM",
"first_name": "RAMISA",
"middle_name": "FARIHA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-04",
"last_updated": "2025-07-02",
"certification_date": "2025-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "125.086612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.