Active NPI
Abdelraouf M Oubaid, MD
- Pediatrics Physician
- Chicago, IL
National Provider Identifier
1376619833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036047037
- Practice address
- 1845 W 47TH St
Chicago, IL 60609-3844 - Phone
- (773) 927-5524
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036047037 | IL | Primary |
Addresses
Primary practice location
1845 W 47TH St
Chicago, IL 60609-3844
Mailing address
8934 S Meade Ave
Oak Lawn, IL 60453
Phone (708) 560-4698
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036047037 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036047037 | IL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390348800000",
"number": "1376619833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8934 S MEADE AVE",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "60453",
"telephone_number": "708-560-4698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1845 W 47TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606093844",
"telephone_number": "773-927-5524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUBAID",
"first_name": "ABDELRAOUF",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2014-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036047037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036047037",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.