Active NPI
Jura M Adams-Bailey, M.D.
- Psychiatry Physician
- Arlington Heights, IL
National Provider Identifier
1972530574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036064574
- Practice address
- 3405 N. Kennicott Avenue
Suite C
Arlington Heights, IL 60004 - Phone
- (847) 483-0303
- Fax
- (847) 483-0305
- NPI assigned
- Jun 27, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036064574 | IL | Primary |
Addresses
Primary practice location
3405 N. Kennicott Avenue
Suite C
Arlington Heights, IL 60004
Mailing address
410 W. Wisconsin Street
Unit F
Chicago, IL 60614
Phone (312) 440-8853
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036064 | Medicaid | IL | |
| 31603305 | Other | IL | BLUE SHIELD |
Other names 1
- Jura M Midian
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036064574 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Care Solutions, Inc. | Past | Accepting new patients | |
| Presence Behavioral Health | Past | Accepting new patients | |
| Behavioral Health Care Associates LTD | Psychiatry | Past | Accepting new patients |
| Premier Behavioral Health Services, P.C. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinical Psychologist
- Orland Park, IL
- NPI 1891957684
-
- Addiction (Substance Use Disorder) Counselor
- Schaumburg, IL
- NPI 1316083231
Psychiatry
-
- Clinical Psychologist
- Bensenville, IL
- NPI 1811168198
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Melrose Park, IL
- NPI 1477622298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339027200000",
"number": "1972530574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 W. WISCONSIN STREET",
"address_2": "UNIT F",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60614",
"telephone_number": "312-440-8853",
"fax_number": "312-440-8863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3405 N. KENNICOTT AVENUE",
"address_2": "SUITE C",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "60004",
"telephone_number": "847-483-0303",
"fax_number": "847-483-0305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS-BAILEY",
"first_name": "JURA",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-27",
"last_updated": "2012-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036064574",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036064",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "31603305",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JURA",
"last_name": "MIDIAN",
"middle_name": "M",
"credential": "M.D.:",
"code": "1",
"type": "Former Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.