Active NPI
Advanced Care Specialist Group LLC
- Neurology Physician
- Chicago, IL
National Provider Identifier
1861956849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- ADVANCED CARE SPECIALIST GROUP LLC
- Practice address
- 5907 W 63Rd St
Chicago, IL 60638-5409 - Phone
- (708) 843-3308
- Fax
- (708) 590-6948
- NPI assigned
- Jan 24, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mohamad R Alzein, MD
- Title
- Owner
- Phone
- (708) 843-3308
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
5907 W 63Rd St
Chicago, IL 60638-5409
Mailing address
10 Orland Square Dr Ste a
Orland Park, IL 60462-3207
Phone (708) 949-8904
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548288000000",
"number": "1861956849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 ORLAND SQUARE DR STE A",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604623207",
"telephone_number": "708-949-8904",
"fax_number": "708-590-6948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5907 W 63RD ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606385409",
"telephone_number": "708-843-3308",
"fax_number": "708-590-6948"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED CARE SPECIALIST GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-24",
"last_updated": "2019-01-24",
"status": "A",
"authorized_official_last_name": "ALZEIN",
"authorized_official_first_name": "MOHAMAD",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-843-3308",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.