Organization Active NPI

Gemini Healthcare LLC

  • General Practice Physician
  • Skokie, IL
National Provider Identifier
1366294811
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
GEMINI HEALTHCARE LLC
Practice address
9150 Crawford Ave Ste L-6
Skokie, IL 60076-1700
Phone
(224) 341-5331
Fax
(224) 341-7538
NPI assigned
Apr 5, 2024
Last updated
Dec 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Authorized official

Name
Fnu Mohammed Muqtadir
Title
President
Phone
(224) 341-5331

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

9150 Crawford Ave Ste L-6
Skokie, IL 60076-1700

Mailing address

9150 Crawford Ave Ste L-6
Skokie, IL 60076-1700
Phone (224) 341-5331

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240620001864 IL Part B Supplier - Clinic/Group Practice 4385187202 Receives reassigned benefits from 1 practitioner
Practice locations: Skokie, IL

National Provider Directory

National Provider Directory

Locations

5836 Lincoln Ave
Ste 200
Morton Grove, IL 60053
Phone (847) 324-6967

1420 Renaissance Dr
Ste 207B
Park Ridge, IL 60068

9150 Crawford Ave
Ste L6
Skokie, IL 60076
Phone (224) 341-5331

Practitioners & affiliated clinicians

Practitioners 1

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": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1366294811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9150 CRAWFORD AVE STE L-6",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761700",
            "telephone_number": "224-341-5331",
            "fax_number": "224-341-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9150 CRAWFORD AVE STE L-6",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761700",
            "telephone_number": "224-341-5331",
            "fax_number": "224-341-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEMINI HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED MUQTADIR",
        "authorized_official_first_name": "FNU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-341-5331"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.