NPIMap

Individual provider Active NPI

Louay Jajeh, DO

  • Internal Medicine Physician
  • Evergreen Park, IL
National Provider Identifier
1174028088
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036.157460 Issued in IL
Practice address
2800 W 95TH St
Evergreen Park, IL 60805-2701
Phone
(708) 422-6200
NPI assigned
Mar 24, 2018
Last updated
Sep 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Internal Medicine Physician 207R00000X 036.157460 IL Primary

Addresses

Primary practice location

2800 W 95TH St
Evergreen Park, IL 60805-2701

Mailing address

2800 W 95TH St
Evergreen Park, IL 60805-2701
Phone (708) 422-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220420002796 IL Practitioner - Internal Medicine 6507113396 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2800 W 95TH St
Evergreen, IL 60805-2701
Phone (708) 422-6200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.157460ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NV Pacs 2 LLC CurrentSince Mar 18, 2024 Accepting new patients
Inpatient Consultants of Illinois, P.C. Internal Medicine Current Accepting new patients
CS Pacs 3 Il, S.C. Internal Medicine CurrentSince Feb 1, 2025 Accepting new patients
Inpatient Consultants of Illinois, PC Internal Medicine CurrentSince Jul 18, 2024 Accepting new patients
Illinois Post-Acute Medical Services 1 PC CurrentSince Mar 18, 2024 Accepting new patients
CS Pacs 3 Midwest LLC Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

2829 S California Ave
Chicago, IL 60608
Phone (646) 431-0013

2800 W 95th St
Evergreen Pk, IL 60805
Phone (708) 229-5104

600 W Ogden Ave
Hinsdale, IL 60521
Phone (630) 325-9630

1055 E Grand Ave
Lindenhurst, IL 60046
Phone (847) 356-4559

1666 Checker Rd
Long Grove, IL 60047
Phone (847) 419-1111

1006 N Lowden Rd
Mount Carroll, IL 61053
Phone (815) 244-7715

6930 W Touhy Ave
Niles, IL 60714
Phone (847) 588-5311

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

1001 N Greenwood Ave
Park Ridge, IL 60068
Phone (847) 685-2805

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

612 W Saint Marys Rd
Sterling, IL 61081
Phone (815) 626-9020

Organizations & group practices 6

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 6

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": "1521849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1174028088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052701",
            "telephone_number": "708-422-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052701",
            "telephone_number": "708-422-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAJEH",
        "first_name": "LOUAY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-24",
        "last_updated": "2022-09-20",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.157460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

Verify at the official NPI Registry.