Individual provider Active NPI

Rukhsana Iqbal, MD

  • Psychosomatic Medicine Physician
  • Hinsdale, IL
National Provider Identifier
1952517807
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
License
036.123088 Issued in IL
Practice address
120 E Ogden Ave
Suite 236
Hinsdale, IL 60521-3542
Phone
(630) 920-1795
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X 036.123088 IL Primary

Addresses

Primary practice location

120 E Ogden Ave
Suite 236
Hinsdale, IL 60521-3542

Mailing address

1040 Longford CT
Westmont, IL 60559-2679

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101204000124 IL Practitioner - Psychiatry 2961699897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Northeastern Ohio University College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hinsdale Behavioral Health ClinicGroup PAC ID 2163619099, 9 clinicians

Practice addresses (Care Compare)

201 E Ogden Ave
Suite 220
Hinsdale, IL 60521-3661
Phone (630) 920-1795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.123088ILMDPsychosomatic Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hinsdale Behavioral Health Clinic CurrentSince Jul 24, 2010 Accepting new patients

Locations

120 E Ogden Ave
Ste 236
Hinsdale, IL 60521
Phone (630) 920-1795

201 E Ogden Ave
Ste 220
Hinsdale, IL 60521
Phone (630) 892-0417

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1952517807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 LONGFORD CT",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605592679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E OGDEN AVE",
            "address_2": "SUITE 236",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213542",
            "telephone_number": "630-920-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IQBAL",
        "first_name": "RUKHSANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "IL",
            "license": "036.123088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.