Individual provider Active NPI

Wahab Brobbey, MD

  • Infectious Disease Physician
  • Chicago, IL
National Provider Identifier
1104812528
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036-103864 Issued in IL
Practice address
2923 N California Ave
Suite 220
Chicago, IL 60618-7702
Phone
(888) 220-6432
Fax
(630) 654-4253
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 036-103864 IL Primary
Infectious Disease Physician 207RI0200X 35821 IA

Addresses

Primary practice location

2923 N California Ave
Suite 220
Chicago, IL 60618-7702

Mailing address

901 McClintock Dr
Suite 202
Burr Ridge, IL 60527-0872
Phone (888) 220-6432

Other identifiers 1

IdentifierTypeStateIssuer
0446450MedicaidIA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address wbrobbey234707@direct.myadvocateaurora.org Direct
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040914001020 IL Practitioner - Infectious DiseasePractitioner - Internal Medicine 0244219897 Reassigns benefits to 1 organization
I20040924000895 IA Practitioner - Infectious DiseasePractitioner - Internal Medicine 0244219897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2923 N California Ave
Suite 220
Chicago, IL 60618-7702
Phone (888) 220-6432

901 McClintock Dr
Suite 201
Burr Ridge, IL 60527-0872

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-103864ILMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Infectious Disease Consultants, LLC Infectious Disease CurrentSince Sep 15, 2004 Accepting new patients
Metro Infectious Disease Consultants LLC Infectious Disease CurrentSince Aug 1, 2004 Accepting new patients
Metro Infectious Disease Consultants LLC Infectious Disease CurrentSince Aug 1, 2004 Accepting new patients
Metro Infectious Disease Consultants, LLC Infectious Disease Past Accepting new patients
Bolivar General Hospital, Inc. Past Accepting new patients
Bolivar General Hospital, Inc. Past Accepting new patients
Primecare Clinic, PLLC Past Accepting new patients

Locations

5260 Northwest Blvd
Ste 7
Davenport, IA 52806
Phone (563) 386-7860

125 E Zeller St
Ste D
North Liberty, IA 52317
Phone (319) 214-0005

530 N Hough St
Ste 180B
Barrington, IL 60010

400 Remington Blvd
Bolingbrook, IL 60440
Phone (630) 226-8100

901 McClintock Dr
Ste 202
Burr Ridge, IL 60527
Phone (630) 654-4201

2923 N California Ave
Ste 220
Chicago, IL 60618
Phone (773) 205-4660

2919 W Addison St
Chicago, IL 60618
Phone (773) 205-4660

2923 N California Ave
#220
Chicago, IL 60618
Phone (773) 205-4660

2250 W Algonquin Rd
Ste 112
Lk in the Hls, IL 60156
Phone (847) 854-0688

4309 W Medical Center Dr
Ste B207
McHenry, IL 60050
Phone (815) 363-2080

4119 W Shamrock Ln
Ste 101
McHenry, IL 60050

1300 Franklin Ave
Ste 230C
Normal, IL 61761
Phone (309) 585-6029

Interoperability endpoints

  • Direct secure messaging: wbrobbey234707@direct.myadvocateaurora.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1104812528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MCCLINTOCK DR",
            "address_2": "SUITE 202",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270872",
            "telephone_number": "888-220-6432",
            "fax_number": "630-654-4253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2923 N CALIFORNIA AVE",
            "address_2": "SUITE 220",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187702",
            "telephone_number": "888-220-6432",
            "fax_number": "630-654-4253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROBBEY",
        "first_name": "WAHAB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036-103864",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IA",
            "license": "35821",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0446450",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wbrobbey234707@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2923 N California Ave",
            "address_2": "SUITE 220",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606187702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2923 N California Ave",
            "address_2": "SUITE 220",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606187702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.