Individual provider Active NPI

Jolly C Anand, MD

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1962515056
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050309000455 IL Practitioner - Psychiatry 3870547102 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
J C Medical Group LTD Psychiatry CurrentSince Mar 27, 2015 Accepting new patients
Jackson Park Hospital Foundation Current Accepting new patients
King Community Mental Health Center Corp PastSince Apr 27, 2009 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.