Active NPI
Jolly C Anand, MD
- Psychiatry Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Practice address
- 10551 S Ewing Ave
Chicago, IL 60617-6220 - Phone
- (312) 565-2251
- Fax
- (630) 214-2094
- NPI assigned
- Aug 16, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | IL | Primary |
Addresses
Primary practice location
10551 S Ewing Ave
Chicago, IL 60617-6220
Mailing address
8900 S County Line Rd
Burr Ridge, IL 60527-6321
Phone (312) 565-2251
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J C Medical Group LTD | Psychiatry | Current | Accepting new patients |
| Jackson Park Hospital Foundation | Current | Accepting new patients | |
| King Community Mental Health Center Corp | Past | Accepting new patients | |
| Roueen Rafeyan MD LTD | Psychiatry | Past | Accepting new patients |
Locations
10551 S Ewing Ave
Chicago, IL 60617
Phone (773) 731-9000
2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153
6033 N Sheridan Rd
Ste N6
Chicago, IL 60660
Phone (773) 275-4800
8201 S Ashland Ave
Chicago, IL 60620
Phone (773) 873-3434
1635 E 154th St
Dolton, IL 60419
Phone (708) 841-9550
Interoperability endpoints
- jollyanand@jph.medalliesdirect.net
Organizations & group practices 4
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.
-
- Psychiatry Physician
- Chicago, IL
- NPI 1407961592
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497750699
-
- Neurology Physician
- Chicago, IL
- NPI 1003056557
-
- Psychiatry Physician
- Chicago, IL
- NPI 1508048414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962515056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8900 S COUNTY LINE RD",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "605276321",
"telephone_number": "312-565-2251",
"fax_number": "630-214-2094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10551 S EWING AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606176220",
"telephone_number": "312-565-2251",
"fax_number": "630-214-2094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANAND",
"first_name": "JOLLY",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.