Individual provider Active NPI

Bishara David Baddour, M.D.

  • Obstetrics & Gynecology Physician
  • Hoffman Estates, IL
National Provider Identifier
1093078388
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036-131210 Issued in IL
Practice address
1721 Moon Lake Blvd Ste 100
Hoffman Estates, IL 60169-5700
Phone
(847) 884-9800
Fax
(833) 918-2376
NPI assigned
Jun 21, 2012
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 125057259 IL
Obstetrics & Gynecology Physician 207V00000X 036-131210 IL Primary
Obstetrics & Gynecology Physician 207V00000X 036131210 IL

Addresses

Primary practice location

1721 Moon Lake Blvd Ste 100
Hoffman Estates, IL 60169-5700

Mailing address

1721 Moon Lake Blvd Ste 100
Hoffman Estates, IL 60169-5700
Phone (847) 884-9800

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
I20130313000527 IL Practitioner - Obstetrics/Gynecology 6204071590 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Center for Women's Healthcare, LTDGroup PAC ID 7012818354, 93 clinicians

Practice addresses (Care Compare)

1786 Moon Lake Blvd
Suite 207
Hoffman Estates, IL 60169-1067
Phone (847) 884-1800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-131210ILMDObstetrics & Gynecology Physician
125057259ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rockford Health Physicians CurrentSince Jul 20, 2019 Accepting new patients
Midwest Center for Women's Health Care, LTD. Obstetrics & Gynecology CurrentSince Aug 17, 2023 Accepting new patients
Freeport Memorial Hospital CurrentSince Dec 6, 2021 Accepting new patients
Freeport Memorial Hospital PastSince Jun 16, 2024 Accepting new patients

Locations

2801 Lakeside Dr
Ste 209
Bannockburn, IL 60015
Phone (847) 562-1410

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105

421 W Exchange St
Freeport, IL 61032
Phone (815) 599-7300

1721 Moon Lake Blvd
Ste 100
Hoffman Estates, IL 60169
Phone (847) 884-9700

1786 Moon Lake Blvd
Ste 207
Hoffman Estates, IL 60169
Phone (847) 884-1800

350 S Northwest Hwy
Ste 112
Park Ridge, IL 60068
Phone (847) 825-8108

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

Interoperability endpoints

  • Direct secure messaging: bishara.baddour.1@21117.direct.athenahealth.com
  • Direct secure messaging: bishara.baddour.2@21117.direct.athenahealth.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1093078388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 MOON LAKE BLVD STE 100",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601695700",
            "telephone_number": "847-884-9800",
            "fax_number": "833-918-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 MOON LAKE BLVD STE 100",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601695700",
            "telephone_number": "847-884-9800",
            "fax_number": "833-918-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADDOUR",
        "first_name": "BISHARA",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-21",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "125057259",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-131210",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036131210",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoffman Estates, IL

Sources for this page

Verify at the official NPI Registry.