Individual provider Active NPI

Tabassum Hanif, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Palos Park, IL
National Provider Identifier
1164453783
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
036120489 Issued in IL
Practice address
11900 Southwest Hwy
Palos Park, IL 60464-1200
Phone
(708) 274-4900
Fax
(708) 274-4949
NPI assigned
Jul 5, 2006
Last updated
Apr 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 036120489 IL
Sleep Medicine (Internal Medicine) Physician 207RS0012X 036120489 IL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 036120489 IL Primary

Addresses

Primary practice location

11900 Southwest Hwy
Palos Park, IL 60464-1200

Mailing address

11900 Southwest Hwy
Palos Park, IL 60464-1200
Phone (708) 274-4900

Other practice location 1

12251 S 80th Ave
Palos Heights, IL 60463-1290
Phone (708) 923-3388

Other practice location 2

10604 Southwest Hwy Ste 107
Chicago Ridge, IL 60415-2717
Phone (708) 422-0636

Other identifiers 2

IdentifierTypeStateIssuer
P00707902OtherILMEDICARE RAILROAD
036120489MedicaidIL

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
I20080718000328 IL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 2264495092 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Sleep Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Pulmonary Critical Care and Sleep Consultants LLCGroup PAC ID 5799048526, 31 clinicians

Practice addresses (Care Compare)

11900 Southwest Hwy
Palos Park, IL 60464-1200
Phone (708) 274-4900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036120489ILMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Dupage Physician Group CurrentSince Jan 1, 2022 Accepting new patients
Medical Labs Inc Current Accepting new patients
Central Dupage Physician Group CurrentSince Jan 1, 2022 Accepting new patients
Midwest Pulmonary Critical Care & Sleep Consultants LLC Critical Care Medicine CurrentSince May 20, 2018 Accepting new patients
Heart-Lung Health Centers Past Accepting new patients
Pulmonary Consultants, SC Critical Care Medicine PastSince Sep 1, 2004 Accepting new patients
Advocate Health and Hospitals Corporation Past Accepting new patients
Cardio-Pulmonary Associates, P.C. Pulmonary Disease Past Accepting new patients

Locations

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

29777 Network Pl
Chicago, IL 60673

10604 Southwest Hwy
Ste 107
Chicago Ridge, IL 60415
Phone (708) 371-8006

5601 S County Line Rd
Hinsdale, IL 60521
Phone (630) 286-4000

4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520

4440 W 95th St
Ste Aip
Oak Lawn, IL 60453
Phone (708) 684-8000

12820 S Ridgeland Ave
Ste B
Palos Heights, IL 60463
Phone (708) 371-6009

12251 S 80th Ave
Palos Heights, IL 60463
Phone (708) 361-4500

11900 Southwest Hwy
Ste 101
Palos Park, IL 60464
Phone (708) 274-4900

8505 183rd St
Ste G
Tinley Park, IL 60487

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

Interoperability endpoints

  • Direct secure messaging: thanif278379@direct.myadvocateaurora.org

Organizations & group practices 8

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 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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1164453783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 SOUTHWEST HWY",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604641200",
            "telephone_number": "708-274-4900",
            "fax_number": "708-274-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 SOUTHWEST HWY",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604641200",
            "telephone_number": "708-274-4900",
            "fax_number": "708-274-4949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12251 S 80th Ave",
            "address_purpose": "LOCATION",
            "city": "Palos Heights",
            "state": "IL",
            "postal_code": "604631290",
            "country_code": "US",
            "telephone_number": "708-923-3388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10604 Southwest Hwy Ste 107",
            "address_purpose": "LOCATION",
            "city": "Chicago Ridge",
            "state": "IL",
            "postal_code": "604152717",
            "country_code": "US",
            "telephone_number": "708-422-0636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANIF",
        "first_name": "TABASSUM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036120489",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "IL",
            "license": "036120489",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IL",
            "license": "036120489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00707902",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036120489",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Park, IL

Sources for this page

Verify at the official NPI Registry.