Ibtisam Choudhury, is a
Psychiatry & Neurology - Psychiatry physician based in Noth Chicago, Illinois. Ibtisam Choudhury is licensed to practice in Illinois (license number 125064215) and her current practice location is 3333 Green Bay Road, Noth Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at
(847) 578-3000.
NPI number for Ibtisam Choudhury is 1538573381 and her current mailing address is 332 N Green Bay Rd Apt 1608, Waukegan, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538573381.
Physician's Profile
Full Name | Ibtisam Choudhury |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 3333 Green Bay Road, Noth Chicago, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538573381
- Provider Enumeration Date: 06/19/2014
- Last Update Date: 06/19/2014
Medical Identifiers
Medical identifiers for Ibtisam Choudhury such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538573381 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 125064215 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ibtisam Choudhury is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ibtisam Choudhury, 332 N Green Bay Rd Apt 1608, Waukegan, IL 60085-4469 Ph: () - | Ibtisam Choudhury, 3333 Green Bay Road, Noth Chicago, IL 60085 Ph: (847) 578-3000 |
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