NPIMap

Individual provider Active NPI

Khalil Snowber, DO

  • Family Medicine Physician
  • Orland Park, IL
National Provider Identifier
1225487481
Registry record updated Nov 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
125068967 Issued in IL
Practice address
16527 106TH CT
Orland Park, IL 60467-4545
Phone
(708) 675-1070
Fax
(708) 675-1073
NPI assigned
Jun 8, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125068967 IL Primary

Addresses

Primary practice location

16527 106TH CT
Orland Park, IL 60467-4545

Mailing address

9300 S 69TH Ave
Oak Lawn, IL 60453-2037

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
I20190724003685 IL Practitioner - Family Practice 8123308277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health Associates PCGroup PAC ID 0749254845, 9 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

16527 S 106TH Court
Orland Park, IL 60467-4545
Phone (708) 675-1070

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Associates PC Family Medicine CurrentSince Sep 19, 2022 Accepting new patients
Health Service Systems, Inc CurrentSince Sep 1, 2019 Accepting new patients
Health Service Systems, Inc Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Daniel L Clark DO LTD Family Medicine PastSince Aug 1, 2019 Accepting new patients
The SNF Group, PLLC Family Medicine PastSince Jul 25, 2019 Accepting new patients

Locations

1900 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 300-7106

1890 Silver Cross Blvd
Ste 265
New Lenox, IL 60451
Phone (815) 727-4292

16527 106th Ct
Orland Park, IL 60467
Phone (708) 675-1070

16512 106th Ct
Orland Park, IL 60467
Phone (708) 364-8323

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGEBDA

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 and National Provider Directory roles.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1225487481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 S 69TH AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16527 106TH CT",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604674545",
            "telephone_number": "708-675-1070",
            "fax_number": "708-675-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNOWBER",
        "first_name": "KHALIL",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-08",
        "last_updated": "2022-11-22",
        "certification_date": "2022-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125068967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

Verify at the official NPI Registry.