MERIDIAN PHYSICIAN GROUP PLLC (NPI# 1811514532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811514532 |
| Entity Type | Organization |
| Organization Name | MERIDIAN PHYSICIAN GROUP PLLC |
| Other Organization Name | MERIDIAN PHYSICIAN GROUP PLLC |
| Practice Address |
645 S Central Ave Chicago IL 60644-5059 |
| Mailing Address |
155 N Michigan Ave Ste 634 Chicago IL 60601-7796 |
| Practice Telephone | 7736264300 |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-08-17 |
| Authorized Official Name | RABL F SULAYMAN (OWNER) |
| Authorized Official Telephone | 3128889153 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Meridian Physician Group PLLC | Doing Business As Name - Organization |
| Meridian Physicians Group PLLC | Doing Business As Name - Organization |
| Street Address |
645 S CENTRAL AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60644-5059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174512917 | M S Bhagavan | Internal Medicine | 645 S Central Ave, Chicago, IL 60644 | 2005-10-14 |
| 1104440361 | Saarah Alkhairy | Psychiatry & Neurology | 645 S Central Ave, Chicago, IL 60644-5059 | 2020-06-03 |
| 1821612185 | Islam Khaled Hussein | Psychiatry & Neurology | 645 S Central Ave, Chicago, IL 60644-5059 | 2020-06-02 |
| 1417571761 | Sam K Suhail | Psychiatry & Neurology | 645 S Central Ave, Chicago, IL 60644-5059 | 2020-06-02 |
| 1841814191 | Omer Majdobeh | Psychiatry & Neurology | 645 S Central Ave, Chicago, IL 60644-5059 | 2020-06-02 |
| 1053944405 | Ferrer Hameed | Physical Therapist | 645 S Central Ave, Chicago, IL 60644-5059 | 2020-02-13 |
| 1780246488 | Onetha U Taylor | Nurse Practitioner | 645 S Central Ave, Chicago, IL 60644-5059 | 2019-07-02 |
| 1548826571 | Stephanie Atoyebi | Podiatrist | 645 S Central Ave, Chicago, IL 60644-5059 | 2019-05-15 |
| 1306318753 | Loretto Hospital | Counselor | 645 S Central Ave, Chicago, IL 60644-5059 | 2018-12-26 |
| 1376039263 | Metropolitan Behavioral Associates, Inc. | Psychiatry & Neurology | 645 S Central Ave, Chicago, IL 60644 | 2018-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710535638 | Marta Yvonne Palmer | Technician | 5008 W Adams, Chicago, IL 60644 | 2019-09-04 |
| 1861056848 | B U I L D Incorporated | Social Worker | 5100 W Harrison St., Chicago, IL 60644 | 2019-04-25 |
| 1851806269 | Habilitative Systems, Inc. | Case Management | 4732 W Ohio St, Chicago, IL 60644 | 2017-12-07 |
| 1336408665 | Meghan Nancy Daw | Dietitian, Registered | 646 S Central Ave, Chicago, IL 60644 | 2012-05-07 |
| 1164790515 | Elizabeth Eleanor Reid-tate | Pharmacist | 5222 W. Madison Avenue, Chicago, IL 60644 | 2011-12-13 |
| 1134458466 | Power Teen Program | Psychologist | 300 N Central Ave, Chicago, IL 60644 | 2009-12-16 |
| 1417198342 | Betty Jean Lofton | Counselor | 5938 W. Midway Park, Chicago, IL 60644 | 2009-03-24 |
| 1881856094 | Sanjay M. Patel M.d. S.c. | Psychiatry & Neurology | 5730 W. Roosevelt Road, Chicago, IL 60644 | 2008-06-29 |
| 1639348691 | Ysl Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 5107-21 West Jackson Blvd, Chicago, IL 60644 | 2008-02-25 |
| 1073795845 | Maryanne Rakidzioski | Occupational Therapist | 5103 W Jackson Blvd, Chicago, IL 60644 | 2007-12-03 |
| Find all providers in zip 60644 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144848086 | Zachary A Kordik Md PC | Psychiatry & Neurology | 25 E Washington St Ste 904, Chicago, IL 60602-1715 | 2020-07-07 |
| 1659996767 | Bluesky Telepsych | Psychiatry & Neurology | 4753 N Broadway St Ste 910, Chicago, IL 60640-4991 | 2020-06-15 |
| 1164047833 | Advanced Psychiatry Clinics, S.c. | Psychiatry & Neurology | 5519 N Cumberland Ave Ste 1016, Chicago, IL 60656-1480 | 2020-06-09 |
| 1326661802 | Psychmed Clinic Inc | Psychiatry & Neurology | 2159 W Madison St, Chicago, IL 60612-2307 | 2020-05-19 |
| 1467074534 | Holmes Psychiatry LLC | Psychiatry & Neurology | 2027 W Division St # 144, Chicago, IL 60622-9024 | 2020-05-12 |
| 1952937104 | Bespoke Psychiatry | Psychiatry & Neurology | 727 W Madison St Apt 4302, Chicago, IL 60661-2580 | 2020-03-19 |
| 1588295125 | Chicago Psychiatric Partners LLC | Psychiatry & Neurology | 625 N Michigan Ave Ste 1910, Chicago, IL 60611-3178 | 2020-02-03 |
| 1841758646 | River North Psychiatry LLC | Psychiatry & Neurology | 405 N Wabash Ave Unit 3209, Chicago, IL 60611-5675 | 2019-03-11 |
| 1760952865 | Mandy Evans, Md, LLC | Psychiatry & Neurology | 2421 N Lawndale Ave, Chicago, IL 60647-2320 | 2018-11-30 |
| 1841773074 | Musec Medical LLC | Psychiatry & Neurology | 1520 W Walton St Unit 3, Chicago, IL 60642-5212 | 2018-09-13 |
| Find all providers in CHICAGO | ||||
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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.