Active NPI
Noor A Abutaha, APN
- Family Nurse Practitioner
- Willowbrook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209.024566
- Practice address
- 40 75TH St
Willowbrook, IL 60527-2325 - Phone
- (630) 581-5372
- NPI assigned
- Apr 6, 2022
- Last updated
- Feb 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 209.024566 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Chicago Medical Center | Current | Accepting new patients | |
| Premier Urgent Care LLC | Current | Accepting new patients | |
| Elite Med Urgent Care LLC | Current | Accepting new patients | |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| Elite Physicians Medical Group Inc | Current | Accepting new patients | |
| Midwest Express Care 2, Inc | Current | Accepting new patients | |
| Midwest Express Care 2, Inc | Current | 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.
-
- Urgent Care Clinic/Center
- Hickory Hills, IL
- NPI 1194594648
-
dba AFC Urgent Care Cicero
- Urgent Care Clinic/Center
- Cicero, IL
- NPI 1154120913
-
dba AFC Urgent Care
- Urgent Care Clinic/Center
- Willowbrook, IL
- NPI 1699397729
-
- Family Medicine Physician
- Hickory Hills, IL
- NPI 1528802956
-
- Urgent Care Clinic/Center
- Willowbrook, IL
- NPI 1548692890
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1033218128
-
dba American Family Care
- Primary Care Clinic/Center
- Willowbrook, IL
- NPI 1053933184
-
dba Midwest Express Clinic
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1659952554
-
dba UCMC Pharmacy Services
- Community/Retail Pharmacy
- Calumet City, IL
- NPI 1255895678
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwestern Medicine Central Dupage Hospital
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
dba Northwestern Medicine Central Dupage Hospital
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
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
- A. Koranteng Medical LTD (stroger hospital of cook county)
- Gisha M Abraham, OTR
- Abundant Health Center, Inc (Abundant Health Chiropractic)
- Abundant Health Chiropractic Inc.
- Sausan Aburas, PHARMD.
- Achieve Orthopedic Sports Institute, LLC
- Sophie Adzia, LSW
- Nicole Teresa Aguilar
- Uzma Akhtar, PHARM D
- Bozana Alexander, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.