Ibtisam Choudhury, is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Noth Chicago, Illinois. Her current practice location is
3333 Green Bay Road, Noth Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 578-3000.
Ibtisam Choudhury is licensed to practice in Illinois (license number 125064215) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1538573381
- Provider Enumeration Date: 06/19/2014
- Last Update Date: 06/19/2014
Medicare PECOS Information:
- PECOS PAC ID: 7517252117
- Enrollment ID: I20160822001556
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
enrolled with medicare and thus, if eligible, can 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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