REDOUANE BOUMENDJEL MD – NPI #1730349028
Pathology

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Health Care Provider Taxonomy Code for Pathology

REDOUANE BOUMENDJEL is a pathologist located in CHICAGO, IL. NPPES has assigned the NPI number 1730349028 to REDOUANE BOUMENDJEL on June 11, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207ZP0102X from the Health Care Provider Taxonomy code set, which is classified as Pathology, specializing in Anatomic Pathology & Clinical Pathology

The NPI profile was previously updated about 4 years ago on Dec 09, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for REDOUANE BOUMENDJEL below.

NPI Profile for
REDOUANE BOUMENDJEL

NPI Number
1730349028
Enumeration Date

(about 18 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
REDOUANE BOUMENDJEL
Credentials
MD
Primary location
840 S WOOD ST
SUITE 130 CSN
CHICAGO, IL 60612
Phone: (312) 996-7250 Fax:
Mailing address
1775 DEMPSTER ST
PARK RIDGE, IL 60068-1143
Phone: (847) 723-5549 Fax: (847) 723-7540
Sole Proprietor
No
Updated
Certification Date
Dec 09, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207ZP0102X
- Pathology / Anatomic Pathology & Clinical Pathology (Primary)		 IL 125051840

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1775 DEMPSTER ST,
PARK RIDGE, IL 77025-1669

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
REDOUANE BOUMENDJEL is affiliated with the following medical group(s):
  • HOSPITAL
    • ADVOCATE CONDELL MEDICAL CENTER
      801 S MILWAUKEE AVE
      LIBERTYVILLE, IL 60048
    • ADVOCATE GOOD SHEPHERD HOSPITAL
      450 WEST HIGHWAY 22
      BARRINGTON, IL 60010
    • ADVOCATE ILLINOIS MASONIC MEDICAL CENTER
      836 WEST WELLINGTON AVENUE
      CHICAGO, IL 60657
    • ADVOCATE LUTHERAN GENERAL HOSPITAL
      1775 DEMPSTER ST
      PARK RIDGE, IL 60068
    • ADVOCATE SHERMAN HOSPITAL
      1425 NORTH RANDALL ROAD
      ELGIN, IL 60123

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.