Majed Dalloul, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

125-057689 Issued in IL

Practice address

2233 W Division St
Chicago, IL 60622-3086

Phone

(312) 770-2000

NPI assigned

Jun 7, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mindwell IncGroup PAC ID 4587949383, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mindwell Inc

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1396281838
  Medicare reassignment Care Compare group NPD Authorized official
• KND Development 59 LLC

  • Hospitalist Physician
  • Chicago, IL
  • NPI 1992034599
  Medicare reassignment NPD
• Saint Anthony Health Affiliates

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1881086064

  Psychiatry

  Medicare reassignment NPD
• KND Development 59 LLC

  • Hospitalist Physician
  • Sycamore, IL
  • NPI 1528397197
  NPD
• Saint Anthony Health Affiliates

  • Multi-Specialty Clinic/Center
  • Chicago, IL
  • NPI 1154713980
  NPD
• KND Development 59, LLC

  • Hospitalist Physician
  • Broken Arrow, OK
  • NPI 1922950823
  NPD

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1922328426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223086",
            "telephone_number": "312-770-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223086",
            "telephone_number": "312-770-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLOUL",
        "first_name": "MAJED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-07",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "125-057689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikolaos Andreas Dallas, MD
• Samantha Dallas, LCPC
• Bree Ann Dallinga, PA-C
• Katlynn Dallmann, LSW
• John Dalloul
• Julie Anderson Dalmonte, MS, OTR/L
• Nathan Alexander Dalrymple, MD
• Allison Dalton
• Andrew Stephen Dalton, D.O
• Daniel P. Dalton, M.D.

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.