Individual provider Active NPI

Noor A Abutaha, APN

  • Family Nurse Practitioner
  • Willowbrook, IL
National Provider Identifier
1093456568
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.024566 Issued in IL
Practice address
40 75TH St
Willowbrook, IL 60527-2325
Phone
(630) 581-5372
NPI assigned
Apr 6, 2022
Last updated
Feb 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.024566 IL Primary

Addresses

Primary practice location

40 75TH St
Willowbrook, IL 60527-2325

Mailing address

40 75TH St
Willowbrook, IL 60527-2325
Phone (630) 581-5372

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221202002715 IL Practitioner - Nurse Practitioner 4486023009 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Urgent Care LLCGroup PAC ID 3072028422, 5 clinicians
Elite Med Urgent Care LLCGroup PAC ID 4688011885, 4 clinicians
Urgent Medical Care LLCGroup PAC ID 8426474941, 3 clinicians

Practice addresses (Care Compare)

4769 W Cermak Rd
Pad02B
Cicero, IL 60804-2508
Phone (312) 833-8338

9634 S Roberts Rd
Hickory Hills, IL 60457-2238
Phone (708) 380-8888

980 Plainfield Rd
Willowbrook, IL 60527-1705
Phone (630) 541-6679

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.024566ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Chicago Medical Center CurrentSince Oct 6, 2022 Accepting new patients
Premier Urgent Care LLC CurrentSince Dec 8, 2025 Accepting new patients
Elite Med Urgent Care LLC CurrentSince Jul 17, 2025 Accepting new patients
The University of Chicago Medical Center CurrentSince Oct 6, 2022 Accepting new patients
Elite Physicians Medical Group Inc CurrentSince Feb 26, 2026 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Mar 4, 2023 Accepting new patients
Midwest Express Care 2, Inc CurrentSince Mar 4, 2023 Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

4769 W Cermak Rd
#2
Cicero, IL 60804
Phone (312) 833-8338

4769 W Cermak Rd
#2B
Cicero, IL 60804
Phone (312) 833-8338

9634 S Roberts Rd
Hickory Hills, IL 60457
Phone (708) 380-8888

9634 S Roberts Rd
Ste 100
Hickory Hills, IL 60457
Phone (708) 380-8888

40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312

Organizations & group practices 9

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": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1093456568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 75TH ST",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605272325",
            "telephone_number": "630-581-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 75TH ST",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605272325",
            "telephone_number": "630-581-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUTAHA",
        "first_name": "NOOR",
        "middle_name": "A",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-06",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.024566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

Verify at the official NPI Registry.