HARIS MEDICAL GROUP LLC (NPI# 1710352091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710352091 |
| Entity Type | Organization |
| Organization Name | HARIS MEDICAL GROUP LLC |
| Practice Address |
1634 S Ardmore Ave Villa Park IL 60181-3742 |
| Practice Telephone | 6308477880 |
| Practice Fax Number | 6305599004 |
| Mailing Telephone | 6308477880 |
| Mailing Fax Number | 6305599004 |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2015-12-11 |
| Authorized Official Name | MRS. JABEEN FATIMA (MANAGER) |
| Authorized Official Telephone | 6308477880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| Street Address |
1634 S ARDMORE AVE |
| City | VILLA PARK |
| State | IL |
| Zip Code | 60181-3742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669762050 | Villa Park Home Dialysis LLC | Clinic/Center | 1634 S Ardmore Ave, Villa Park, IL 60181-3742 | 2011-04-19 |
| 1669853206 | Nocturnal Dialysis Spa LLC | Clinic/Center | 1634 S Ardmore Ave, Villa Park, IL 60181-3742 | 2015-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820812 | Molly Ahitow | Pharmacist | 900 Il-83, Villa Park, IL 60181 | 2020-10-30 |
| 1881200343 | Podiatric Management Systems LLC | Podiatrist | 1 S067 Summit Ave, Oakbrook Terrace, IL 60181 | 2020-09-21 |
| 1093320855 | Rci (wrs), LLC. | Clinic/Center | 17 West 580 Butterfield Road, Oakbrook Terrace, IL 60181 | 2020-09-09 |
| 1720600992 | Mariam Ali | Pharmacist | 900 S. Rt 83, Villa Park, IL 60181 | 2020-05-11 |
| 1255970067 | Lifecare Pharmacy Plus LLC | Pharmacy | 1634 Ardmore Ave, Villa Park, IL 60181 | 2019-12-26 |
| 1497229215 | For Eyes Optical of Pa | Optometrist | 17 W 412-414 22nd St, Ste M&n, Oakbrook Terrace, IL 60181 | 2019-01-15 |
| 1114499928 | Next Step Physiotherapy LLC | Clinic/Center | 1 Parkview Plaza, Oakbrook Terrace, IL 60181 | 2018-12-19 |
| 1912482654 | Avertrail Dialysis LLC | Clinic/Center | 196 W. North Avenue, Villa Park, IL 60181 | 2018-09-28 |
| 1922588581 | Neeliyara Inc | Psychologist | 1s045 Spring Road, Unit 1g, Oakbrook Terrace, IL 60181 | 2018-08-14 |
| 1588168439 | Deborah Marie Adolfino | Pedorthist | 1s376 Summit Ave., Ct. E, Oakbrook Terrace, IL 60181 | 2018-03-23 |
| Find all providers in zip 60181 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154987618 | Kireet Agrawal Incorporated | Internal Medicine | 17680 Kedzie Ave Ste 201, Hazel Crest, IL 60429-2088 | 2019-05-10 |
| 1235627332 | Chicago Nephrology Associates, LLC | Internal Medicine | 3023 N Clark St #302, Chicago, IL 60657 | 2018-04-25 |
| 1619328820 | Nay Seif | Internal Medicine | 675 N Saint Clair St Ste 250, Chicago, IL 60611-5975 | 2016-06-29 |
| 1447611389 | Skyline Medical Associates LLC | Internal Medicine | 100 E 14th St Apt 1907, Chicago, IL 60605-3673 | 2016-03-18 |
| 1013301605 | Anand Ramadorai | Internal Medicine | 1550 N Northwest Hwy Ste 303, Park Ridge, IL 60068-1460 | 2015-03-23 |
| 1578955654 | R. Gandhi Md S C | Internal Medicine | 602 N East Ave, Oak Park, IL 60302-1716 | 2015-02-25 |
| 1619389715 | Kidney Care Center Olympia Fields LLC | Internal Medicine | 3302 Vollmer Rd, Olympia Fields, IL 60461-1179 | 2014-05-22 |
| 1548687783 | Salim Mujais | Internal Medicine | 2742 The Mews, Northbrook, IL 60062-2617 | 2014-03-26 |
| 1972936581 | Marshall David Lindheimer | Internal Medicine | 5807 S Dorchester Ave, 5e, Chicago, IL 60637-1729 | 2013-08-19 |
| 1649616822 | Bun Siu L. Co | Internal Medicine | 838 Highland Rd., Frankfort, IL 60423 | 2013-05-15 |
| Find all providers with the same taxonomy | ||||
| City | VILLA PARK |
| Zip Code | 60181 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.