Ahmad Amer Abdl-Haleem, DO
Individual provider Active NPI Family Medicine Physician · Chicago, IL
NPI 1992209902 · NPPES record last updated Sep 27, 2021
Key facts
- NPI
- 1992209902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036157664 (IL)
- Practice address
- 3737 W Lawrence Ave
Chicago, IL 60625-5746 - Phone
- (773) 366-7777
- NPI assigned
- Mar 23, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190115000387 | IL | Order and Referring Only - General Practice |
8921344821 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tapestry 360 Health | Past | Accepting new patients |
Interoperability endpoints
- ahmad.abdl-haleem.1@27315.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 036157664 | IL | Yes |
Addresses
Primary practice location
3737 W Lawrence Ave
Chicago, IL 60625-5746
Mailing address
3737 W Lawrence Ave
Chicago, IL 60625-5746
Phone (773) 366-7777
Other practice location 1
251 E Huron St
Chicago, IL 60611-3055
Phone (312) 926-2000
Other practice location 2
225 E Chicago Ave
Chicago, IL 60611-2991
Phone (312) 227-4000
Other practice location 3
1475 E Belvidere Rd
Grayslake, IL 60030-2012
Phone (847) 535-7157
Other practice location 4
355 E Erie St
Chicago, IL 60611-3167
Phone (312) 238-1000
Other practice location 5
2750 W North Ave
Chicago, IL 60647-5247
Phone (312) 666-3494
Other providers in Chicago, IL
- Shadya Abdelrahman
- Naser Abdelsalam
- Linda Meier Abdelsayed
- Fartun Abdi
- Ibrahim M Abdiow
- Abdol Hosseinian MD
- Babak Abdollahshamshirsaz
- Khoshnam Abdul Hamid
- Unknown Abdul Hanan
- Maysa H Abdul Hussain
All providers in Chicago, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.