Avicenna Children Institute LLC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

AVICENNA CHILDREN INSTITUTE LLC

Practice address

920 N York Rd Ste 200
Hinsdale, IL 60521-8626

Phone

(630) 749-7107

Fax

(630) 749-7119

NPI assigned

Apr 27, 2022

Organization subpart

No

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

Authorized official

Name

Iyad Alkhouri, MDNPI 1952328940

Title

Owner/Authorized Official

Phone

(630) 749-7107

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: elizabeth@avicennachildren.com

Practitioners 1

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

• Iyad Michael Alkhouri, MD

  • Psychiatry Physician
  • Stockton, CA
  • NPI 1952328940

  Addiction Psychiatry, IL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1891439568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 N YORK RD STE 200",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605218626",
            "telephone_number": "630-749-7107",
            "fax_number": "630-749-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 N YORK RD STE 200",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605218626",
            "telephone_number": "630-749-7107",
            "fax_number": "630-749-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVICENNA CHILDREN INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "ALKHOURI",
        "authorized_official_first_name": "IYAD",
        "authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "630-749-7107",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ELIZABETH@AVICENNACHILDREN.COM",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "920 N York Rd Ste 200",
            "city": "Hinsdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605218626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Indira Atluri, M.D.
• Linda Aubergine, D.O.
• Auditory Services, Inc.
• Audrey L Wayne MD SC
• Avicenna Behavioral Health, LLC
• Shahrzad Azizaddini, MD
• Back to Balance Counseling, LLC
• Yasmeen Sami Bader, DNP, CNM
• Munira Abdulqadir Badri, MOT, OTR/L
• Keith A Baird, PH.D.

• Child & Adolescent Psychiatry Physician in Hinsdale, IL
• Providers in Hinsdale, IL by specialty
• Child & Adolescent Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.