Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ammar Y Divan, MD

Individual provider Anesthesiology Physician · NPI 1588977557

Dr. Ammar Y Divan, MD is a Pain Management in Bloomingdale, Illinois. Graduated from Georgetown University School of Medicine in 2005, 21 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia, Illinois, Maryland and Virginia.

Years since qualifying
21
Trained at
Georgetown University School of Medicine
Licensed in
GA, IL, MD, VA
In the registry since
2010
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

245 S Gary Ave Ste 100
Bloomingdale, IL 60108-2200
Phone: (630) 933-4550
Fax: (630) 933-2200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 — (770) 931-6065

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 036123274 (IL)
Anesthesiology Physician Taxonomy 207L00000X · Licence 036123274 (IL)
Anesthesiology Physician Taxonomy 207L00000X · Licence 0101247908 (VA)
Anesthesiology Physician Taxonomy 207L00000X · Licence D71131 (MD)
Anesthesiology Physician Taxonomy 207L00000X · Licence 068143 (GA)

Record details

NPI number1588977557
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2010
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPAIN MANAGEMENT
Also practisesANESTHESIOLOGY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare