Organization Active NPI

MD Health Group LLC

  • Nephrology Physician
  • New Lenox, IL
National Provider Identifier
1063341683
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
MD HEALTH GROUP LLC
Practice address
1890 Silver Cross Blvd Ste 320
New Lenox, IL 60451-9610
Phone
(708) 945-2419
NPI assigned
May 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Mazen Diab, MDNPI 1134436819
Title
President
Phone
(708) 945-2419

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

1890 Silver Cross Blvd Ste 320
New Lenox, IL 60451-9610

Mailing address

8535 142ND PL
Orland Park, IL 60462-4190
Phone (708) 945-2419

National Provider Directory

National Provider Directory

Locations

1890 Silver Cross Blvd
Ste 320
New Lenox, IL 60451
Phone (331) 247-9509

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1063341683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8535 142ND PL",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624190",
            "telephone_number": "708-945-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD STE 320",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519610",
            "telephone_number": "708-945-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "DIAB",
        "authorized_official_first_name": "MAZEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-945-2419",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.