Individual provider Active NPI

Ridha Chakeer, M.D.

  • Family Medicine Physician
  • Downers Grove, IL
National Provider Identifier
1013164391
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036126750 Issued in IL
Practice address
3825 Highland Ave Ste 2B
Downers Grove, IL 60515-1548
Phone
(630) 445-1022
Fax
(630) 559-7377
NPI assigned
Aug 19, 2008
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036126750 IL Primary

Addresses

Primary practice location

3825 Highland Ave Ste 2B
Downers Grove, IL 60515-1548

Mailing address

9051 Willow Ridge Dr
Willow Springs, IL 60480-1185
Phone (630) 445-1022

Other identifiers 1

IdentifierTypeStateIssuer
1649634247MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120206000824 IL Practitioner - Family PracticePractitioner - Emergency Medicine 1951568724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1311 Butterfield Rd
Suite 306
Downers Grove, IL 60515-5666
Phone (630) 445-1022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036126750ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Best Care Medical Center LTD Family Medicine CurrentSince Nov 24, 2025 Accepting new patients
Premier Family Health and Wellness Center Inc Family Medicine CurrentSince Mar 25, 2016 Accepting new patients
MSMC Investors, LLC Family Medicine Past Accepting new patients
Blue Island HBP Medical Group LLC Past Accepting new patients

Locations

1311 Butterfield Rd
Ste 306
Downers Grove, IL 60515
Phone (630) 276-3291

3815 Highland Ave
Downers Grove, IL 60515
Phone (630) 275-5900

3825 Highland Ave
Ste 2B
Downers Grove, IL 60515
Phone (630) 445-1022

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17944/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGACDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IGACDD/Endpoint/IGACDD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1013164391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9051 WILLOW RIDGE DR",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801185",
            "telephone_number": "630-445-1022",
            "fax_number": "630-559-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HIGHLAND AVE STE 2B",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151548",
            "telephone_number": "630-445-1022",
            "fax_number": "630-559-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAKEER",
        "first_name": "RIDHA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036126750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1649634247",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

Verify at the official NPI Registry.