Active NPI
Amjad A Zureikat, MD
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1942255377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036061660
- Practice address
- 4754 N Lincoln Ave
Chicago, IL 60625-2010 - Phone
- (773) 878-4000
- Fax
- (773) 283-4177
- NPI assigned
- May 24, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036061660 | IL | Primary |
Addresses
Primary practice location
4754 N Lincoln Ave
Chicago, IL 60625-2010
Mailing address
4754 N Lincoln Ave
Suite 2
Chicago, IL 60625-2010
Phone (773) 878-4000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036061660 | Other | IL | PROFESSIONAL LICENSE |
| 336026227 | Other | IL | CONTROLLED SUBSTANCE |
| 036061660 | Medicaid | IL |
Other names 1
- Dr. Amjad A Zureikat
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Chicago, IL
- NPI 1801093836
-
- Family Medicine Physician
- Chicago, IL
- NPI 1023216595
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1164556981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1942255377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4754 N LINCOLN AVE",
"address_2": "SUITE 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606252010",
"telephone_number": "773-878-4000",
"fax_number": "773-283-4177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4754 N LINCOLN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606252010",
"telephone_number": "773-878-4000",
"fax_number": "773-283-4177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUREIKAT",
"first_name": "AMJAD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036061660",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "036061660",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONTROLLED SUBSTANCE",
"identifier": "336026227",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036061660",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMJAD",
"last_name": "ZUREIKAT",
"middle_name": "A",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.