Individual provider Active NPI

Mazen Abdel-Hadi, M.D.

  • Pulmonary Disease Physician
  • Joliet, IL
National Provider Identifier
1356468672
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
036-087441 Issued in IL
Practice address
903 129TH Infantry Dr
Suite 400
Joliet, IL 60435-3171
Phone
(815) 725-2653
Fax
(815) 744-3232
NPI assigned
Mar 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 036-087441 IL Primary

Addresses

Primary practice location

903 129TH Infantry Dr
Suite 400
Joliet, IL 60435-3171

Mailing address

903 129TH Infantry Dr
Suite 400
Joliet, IL 60435-3171
Phone (815) 725-2653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20070717000595 IL Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 0042310211 Reassigns benefits to 5 organizations
Practice locations: Hinsdale, IL; Des Plaines, IL; Oak Lawn, IL; Joliet, IL; Niles, IL
I20221207001740 WI Practitioner - Pulmonary Disease 0042310211 Reassigns benefits to 1 organization
I20260506002689 OH Practitioner - Pulmonary Disease 0042310211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Midwest Respiratory, LTD.Group PAC ID 8527034263, 18 clinicians

Practice addresses (Care Compare)

133 Kraml Dr
Burr Ridge, IL 60527-0301
Phone (630) 390-4678

903 Infantry Dr
Suite 300
Joliet, IL 60435-3170
Phone (815) 725-2653

Hospital & facility affiliations

  • Silver Cross Hospital and Medical Centers Hospital, New Lenox, IL, CCN 140213
  • Saint Joseph Medical Center Hospital, Joliet, IL, CCN 140007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-087441ILMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KND Development 59, LLC CurrentSince Oct 1, 2017 Accepting new patients
Butterfield Health Care II, Inc. CurrentSince Jun 1, 2007 Accepting new patients
Midwest Respiratory, LTD. Pulmonary Disease CurrentSince Jun 1, 2007 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Nov 15, 2022 Accepting new patients
Mazen Abdel-Hadi, M.D., L.L.C. Pulmonary Disease CurrentSince Mar 1, 2019 Accepting new patients
KND Development 59 LLC Current Accepting new patients
Trinity Medical Center Pulmonary Disease CurrentSince Apr 8, 2022 Accepting new patients
Trinity Regional Medical Center CurrentSince Feb 15, 2022 Accepting new patients
KND Development 59 LLC CurrentSince Oct 1, 2017 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Nov 15, 2022 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Asthma and Respiratory Center of South Dayton Inc Pulmonary Disease Past Accepting new patients
Samaritan Emergency Corp Past Accepting new patients

Locations

2544 W Montrose Ave
Chicago, IL 60618
Phone (773) 267-2622

4058 W Melrose St
Chicago, IL 60641
Phone (773) 267-2622

6130 N Sheridan Rd
Chicago, IL 60660
Phone (773) 381-1222

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

903 Infantry Dr
Ste 300
Joliet, IL 60435
Phone (815) 725-2653

903 N 129th Infantry Dr
Ste 400
Joliet, IL 60435
Phone (815) 725-2653

151 W High St
Morris, IL 60450
Phone (815) 416-1331

678 Cedar Crossings Dr
Ste 201
New Lenox, IL 60451
Phone (815) 740-1301

365 E North Ave
Northlake, IL 60164
Phone (517) 273-1540

10660 W 143rd St
Orland Park, IL 60462
Phone (219) 838-0066

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

225 Edward St
Sycamore, IL 60178
Phone (815) 225-2144

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744

W180N8000 Town Hall Rd
Menomonee Falls, WI 53051
Phone (262) 255-2500

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: mabdelhadi181378@uihcdirect.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1356468672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 129TH INFANTRY DR",
            "address_2": "SUITE 400",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353171",
            "telephone_number": "815-725-2653",
            "fax_number": "815-744-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 129TH INFANTRY DR",
            "address_2": "SUITE 400",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353171",
            "telephone_number": "815-725-2653",
            "fax_number": "815-744-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDEL-HADI",
        "first_name": "MAZEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036-087441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

Verify at the official NPI Registry.