Mazen Abdel-Hadi, M.D., L.L.C.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

MAZEN ABDEL-HADI, M.D., L.L.C.

Practice address

133 Kraml Dr
Burr Ridge, IL 60527-0301

Phone

(630) 390-4678

NPI assigned

Jun 12, 2019

Last updated

Feb 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mazen Abdel-Hadi, MDNPI 1356468672

Title

Owner

Phone

(630) 390-4678

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mazen Abdel-Hadi, M.D.

  • Pulmonary Disease Physician
  • Joliet, IL
  • NPI 1356468672
  Medicare reassignment NPD Authorized official
• Kristin Simerdla Doyle, NP-C

  • Family Nurse Practitioner
  • Palos Heights, IL
  • NPI 1255874335
  Medicare reassignment NPD
• Brenda Smith, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Upland, CA
  • NPI 1447678081

  IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613692800000",
    "number": "1083273080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1261",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605593861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 KRAML DR",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270301",
            "telephone_number": "630-390-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZEN ABDEL-HADI, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-12",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A",
        "authorized_official_last_name": "ABDEL-HADI",
        "authorized_official_first_name": "MAZEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-390-4678",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher M Masi, MD
• Mary J. Mastny, PTA
• Mancy Mathew, NP-C
• Sarah A Matlin, LCPC
• Aimee Mayuga, M.D.
• Stacy McCarty, MD
• John F McConville, MD
• Jessica Lee McCormack, M.S. LMFT
• Melissa McCroy
• David McDermott

• Pulmonary Disease Physician in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Pulmonary Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.