Ibrahim Majzoub, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

036093658 Issued in IL

Practice address

645 S Central Ave
Outpatient Facility
Chicago, IL 60644-5059

Phone

(847) 800-2824

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associates in Pulmonary and Critical Care LTDGroup PAC ID 0749271765, 3 clinicians

Foundation for Outreach ServicesGroup PAC ID 3375507163, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Bernard Hospital Hospital, Chicago, IL, CCN 140103
• Loretto Hospital Hospital, Chicago, IL, CCN 140083
• Humboldt Park Health Hospital, Chicago, IL, CCN 140206
• Roseland Community Hospital Hospital, Chicago, IL, CCN 140068
• Loyola Gottlieb Memorial Hospital Hospital, Melrose Park, IL, CCN 140008
• Kindred Hospital - Chicago Long-term care hospital, Northlake, IL, CCN 142008

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ibrahim.majzoub@loretto.medalliesdirect.net
• Direct secure messaging: imajzoub@direct-address.org

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Humboldt Park Health

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1972594877

  Corporate Director

  CMS ownership

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.

• Associates in Pulmonary & Critical Care LTD

  • Pulmonary Disease Physician
  • Chicago, IL
  • NPI 1558456525

  IL, Pulmonary Disease

  Medicare reassignment Care Compare group NPD Authorized official
• Dupage Immediate Care, LTD

  • Urgent Care Clinic/Center
  • Oakbrook Terrace, IL
  • NPI 1114262326

  IL

  Medicare reassignment NPD Authorized official
• Foundation for Outreach Services

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1316350242

  IL

  Medicare reassignment Care Compare group NPD
• Summit Center for Health, LLC

  • Multi-Specialty Clinic/Center
  • Oakbrook Terrace, IL
  • NPI 1619212800

  IL

  Medicare reassignment NPD Authorized official
• Summit Center for Surgery LLC

  • Ambulatory Surgical Clinic/Center
  • Oakbrook Terrace, IL
  • NPI 1760198014
  NPD (past) Authorized official
• Loretto Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1447280284
  NPD
• Summit Dermatology and Aesthetic Surgery LTD

  • Dermatology Physician
  • Oakbrook Terrace, IL
  • NPI 1376852137
  NPD (past)

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

• Gottlieb Memorial Hospital

  • General Acute Care Hospital
  • Melrose Park, IL
  • NPI 1831170232

  Hospital

  Care Compare affiliation
• Humboldt Park Health

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1972594877

  Hospital

  Care Compare affiliation
• Kindred Chicago Northlake, LLC

  • Long Term Care Hospital
  • Northlake, IL
  • NPI 1508472804

  Long-term care hospital

  Care Compare affiliation
• Kindred Chicago Northlake, LLC

  • Long Term Care Hospital
  • Chicago, IL
  • NPI 1821604125

  Long-term care hospital

  Care Compare affiliation
• Loretto Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1447280284

  Hospital

  Care Compare affiliation
• Roseland Community Hospital Association

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1568472819

  Hospital

  Care Compare affiliation
• St. Bernard Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1811034291

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1366537409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 SHEFFIELD LN",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232354",
            "telephone_number": "847-298-4004",
            "fax_number": "847-298-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 S CENTRAL AVE",
            "address_2": "OUTPATIENT FACILITY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606445059",
            "telephone_number": "847-800-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAJZOUB",
        "first_name": "IBRAHIM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036093658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036093658",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Renee Major, PHD LCSW
• Ellen M Major, M.D.
• Sarah A Major
• Sanjoy Majumdar, MD
• Abdul Majzoub, D.D.S
• Mak Laboratory Inc
• Grace Mak
• Heather Mak
• Kathleen Mak
• Michael Marek Maka, PSY.D.

• All providers in Chicago, IL
• Pulmonary Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.