Organization Active NPI

Nuhaily Medical Services LLC

  • Rheumatology Physician
  • Tinley Park, IL
National Provider Identifier
1861787616
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
036118507 Issued in IL
Legal business name
NUHAILY MEDICAL SERVICES LLC
Practice address
16750 80TH Ave
Suite D
Tinley Park, IL 60477-3173
Phone
(708) 422-2023
NPI assigned
Jun 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Authorized official

Name
Samer Nuhaily, MD
Title
Provider
Phone
(708) 422-2023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RR0500X 036118507 IL Primary

Addresses

Primary practice location

16750 80TH Ave
Suite D
Tinley Park, IL 60477-3173

Mailing address

9229 Massasoit Ave
C/O Mayer SVC Co
Oak Lawn, IL 60453-1657
Phone (708) 422-2023

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1861787616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9229 MASSASOIT AVE",
            "address_2": "C/O MAYER SVC CO",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531657",
            "telephone_number": "708-422-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16750 80TH AVE",
            "address_2": "SUITE D",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604773173",
            "telephone_number": "708-422-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUHAILY MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "NUHAILY",
        "authorized_official_first_name": "SAMER",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "708-422-2023",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036118507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.