Organization Active NPI

Reems Clinic & Institute of Medicine S.C.

  • Internal Medicine Physician
  • Bridgeview, IL
National Provider Identifier
1932380649
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
REEMS CLINIC & INSTITUTE OF MEDICINE S.C.
Practice address
7251 W 87TH Street
Bridgeview, IL 60455
Phone
(708) 599-1001
NPI assigned
Nov 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Dr. Yaseen K Odeh, M.D
Title
Owner
Phone
(312) 432-1707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7251 W 87TH Street
Bridgeview, IL 60455

Mailing address

1544 W Chicago Ave
Chicago, IL 60622
Phone (312) 432-1707

Other identifiers 1

IdentifierTypeStateIssuer
036083325MedicaidIL

National Provider Directory

National Provider Directory

Locations

7251 W 87th St
Bridgeview, IL 60455
Phone (708) 599-1001

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1932380649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60622",
            "telephone_number": "312-432-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7251 W 87TH STREET",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "60455",
            "telephone_number": "708-599-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REEMS CLINIC & INSTITUTE OF MEDICINE S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-21",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "ODEH",
        "authorized_official_first_name": "YASEEN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-432-1707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036083325",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.