Organization Active NPI

Ilahi Family Medicine

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1982902250
Registry record updated Feb 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036092442 Issued in IL
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2013

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

Authorized official

Name
Dr. Suhail Ahmed Siddiqui, MDNPI 1316904279
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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
036092442MedicaidIL

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.