Organization Active NPI

Dupage Immediate Care, LTD

  • Urgent Care Clinic/Center
  • Oakbrook Terrace, IL
National Provider Identifier
1114262326
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
68548217 Issued in IL
Legal business name
DUPAGE IMMEDIATE CARE, LTD
Practice address
1S210 Summit Ave
Oakbrook Terrace, IL 60181-3933
Phone
(630) 282-6002
Fax
(630) 282-7322
NPI assigned
Nov 29, 2012
Last updated
Jan 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Dr. Ibrahim A Majzoub, M.D.NPI 1366537409
Title
Ceo / President
Phone
(630) 282-6002

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 68548217 IL Primary
Family Medicine Physician 207Q00000X
Infectious Disease Physician 207RI0200X

Addresses

Primary practice location

1S210 Summit Ave
Oakbrook Terrace, IL 60181-3933

Mailing address

1S210 Summit Ave
Oakbrook Terrace, IL 60181
Phone (630) 282-6002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130823000491 IL Part B Supplier - Clinic/Group Practice 7214170240 Receives reassigned benefits from 4 practitioners
Practice locations: Oakbrook Terrace, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1114262326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S210 SUMMIT AVE",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "60181",
            "telephone_number": "630-282-6002",
            "fax_number": "630-282-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S210 SUMMIT AVE",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813933",
            "telephone_number": "630-282-6002",
            "fax_number": "630-282-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGE IMMEDIATE CARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "MAJZOUB",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "630-282-6002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "IL",
            "license": "68548217",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.