Active NPI
Ilahi Family Medicine
- Internal Medicine Physician
- Chicago, IL
National Provider Identifier
1982902250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036092442
- Legal business name
- ILAHI FAMILY MEDICINE
- Practice address
- 6374 N Lincoln Ave
Suite 202
Chicago, IL 60659-1275 - Phone
- (773) 681-0260
- Fax
- (773) 304-4415
- NPI assigned
- Mar 10, 2011
- Last updated
- Feb 19, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Suhail Ahmed Siddiqui, MD
- Title
- President
- Phone
- (773) 681-0260
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036092442 | IL | Primary |
Addresses
Primary practice location
6374 N Lincoln Ave
Suite 202
Chicago, IL 60659-1275
Mailing address
3100 W Columbia Ave
Chicago, IL 60645-4004
Phone (773) 681-0260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036092442 | Medicaid | IL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1316904279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1361232000000",
"number": "1982902250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 W COLUMBIA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606454004",
"telephone_number": "773-681-0260",
"fax_number": "773-304-4415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6374 N LINCOLN AVE",
"address_2": "SUITE 202",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606591275",
"telephone_number": "773-681-0260",
"fax_number": "773-304-4415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ILAHI FAMILY MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-10",
"last_updated": "2013-02-19",
"status": "A",
"authorized_official_last_name": "SIDDIQUI",
"authorized_official_first_name": "SUHAIL",
"authorized_official_middle_name": "AHMED",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-681-0260",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": "036092442",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036092442",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
- Il Dentist Partners, PC (Ora Dental Studio Wicker Park)
- Il Dentist Partners, PC (Ora Dental Studio River North)
- Il Dentist Partners, PC (Ora Dental Studio Gold Coast)
- Il Dentist Partners, PC (Ora Dental Studio South Loop)
- Il Sprout MC 1 LLC (Elemy)
- Ilahi Medicine of Illinois, LLC
- Ile Enterprises LLC
- Julia J Ilecki
- Chinwendu Adaobi Ileka, MD
- Ayodeji Israel Ilelaboye, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.