Obadah Asbahi
Individual provider Active NPI Family Medicine Physician · Berwyn, IL
NPI 1073207486 · NPPES record last updated May 15, 2025
Key facts
- NPI
- 1073207486
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 125085703 (IL)
- Practice address
- 3249 Oak Park Ave
Berwyn, IL 60402-3429 - Phone
- (708) 783-2000
- NPI assigned
- Jun 7, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250724000828 | IL | Order and Referring Only - Family Practice |
8628584786 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 125085703 | IL | Yes |
Addresses
Primary practice location
3249 Oak Park Ave
Berwyn, IL 60402-3429
Mailing address
3249 Oak Park Ave
Berwyn, IL 60402-3429
Other practice location 1
515 N Michigan Ave
Saginaw, MI 48602-4316
Phone (989) 583-0000
Other providers in Berwyn, IL
- Centuria Armstrong
- Sophie Aroesty
- Melissa Marie Arredondo
- Arze Doctors Center SC
- Ricardo Arze
- Udochukwu O Asonye
- Muaz Nizar Assaf
- Rami Assaf
- Associates in Behavioral Science, LTD.
- Athletico, LTD
All providers in Berwyn, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.