Individual provider Active NPI

Basem Jaber, MD

  • Diagnostic Radiology Physician
  • Oak Lawn, IL
National Provider Identifier
1407477532
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036-176996 Issued in IL
Practice address
4061 W 95TH St
Oak Lawn, IL 60453-2611
Phone
(847) 841-2900
Fax
(630) 545-7538
NPI assigned
Apr 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D0104545 MD
Diagnostic Radiology Physician 2085R0202X 036-176996 IL Primary

Addresses

Primary practice location

4061 W 95TH St
Oak Lawn, IL 60453-2611

Mailing address

Pob 7132960
Chicago, IL 60677-1260
Phone (630) 469-9200

Other practice location 1

301 Augustine Herman Hwy Ste A
Elkton, MD 21921-6587
Phone (410) 620-1900

Other practice location 2

123 Singerly Ave
Elkton, MD 21921-5523
Phone (410) 392-2686

Other practice location 3

106 Bow St
Elkton, MD 21921-5596
Phone (410) 398-4000

Other practice location 4

1500 Lansdowne Ave
Darby, PA 19023-1200
Phone (610) 237-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bjaber378029@dulyhealthandcare.direct-ci.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA, IL3 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
I20251013001219 MD Practitioner - Diagnostic Radiology 6002303286 Reassigns benefits to 1 organization
I20251104002521 PA Practitioner - Diagnostic Radiology 6002303286 Reassigns benefits to 1 organization
I20260610001413 IL Practitioner - Diagnostic Radiology 6002303286

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Hospital of Cecil CountyGroup PAC ID 6901719822, 281 clinicians
Dupage Medical Group LTDGroup PAC ID 5496667941, shared by 26 NPIs, 1,326 clinicians

Practice addresses (Care Compare)

106 Bow St
Elkton, MD 21921-5544
Phone (410) 398-4000

120 Spalding Dr
Suite 309
Naperville, IL 60540-6521
Phone (630) 527-6360

1325 N Meacham Rd
Schaumburg, IL 60173-4824
Phone (630) 469-9200

17495 La Grange Rd
Tinley Park, IL 60487-7581
Phone (708) 226-7000

1801 S Highland Ave
Lombard, IL 60148-4932
Phone (630) 627-4722

2100 Glenwood Ave
Joliet, IL 60435-5487
Phone (815) 725-2121

250 E Wynnewood Rd
Apt B10
Wynnewood, PA 19096-1540
Phone (410) 398-3868

30 Stratford Dr
Bloomingdale, IL 60108-2201
Phone (630) 893-2210

40 S Clay St
Hinsdale, IL 60521-3257

430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone (630) 469-9200

430 Warrenville Rd
Suite 210
Lisle, IL 60532-1348
Phone (630) 432-6180

Hospital & facility affiliations

  • Union Hospital of Cecil County Hospital, Elkton, MD, CCN 210032

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0104545MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital of Cecil County, Inc. CurrentSince Sep 20, 2025 Accepting new patients
Union Hospital of Cecil County CurrentSince Sep 20, 2025 Accepting new patients
Precision Diagnostic Radiology LLC Diagnostic Radiology Past Accepting new patients

Locations

123 Singerly Ave
Elkton, MD 21921
Phone (410) 392-2686

301 Augustine Herman Hwy
Ste A
Elkton, MD 21921
Phone (410) 620-1900

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

Organizations & group practices 3

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 1

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": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1407477532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 7132960",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606771260",
            "telephone_number": "630-469-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4061 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532611",
            "telephone_number": "847-841-2900",
            "fax_number": "630-545-7538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Augustine Herman Hwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219216587",
            "country_code": "US",
            "telephone_number": "410-620-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 SINGERLY AVE",
            "address_purpose": "LOCATION",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215523",
            "country_code": "US",
            "telephone_number": "410-392-2686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 Bow St",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "MD",
            "postal_code": "219215596",
            "country_code": "US",
            "telephone_number": "410-398-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Lansdowne Ave",
            "address_purpose": "LOCATION",
            "city": "Darby",
            "state": "PA",
            "postal_code": "190231200",
            "country_code": "US",
            "telephone_number": "610-237-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JABER",
        "first_name": "BASEM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-29",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0104545",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036-176996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bjaber378029@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4061 W 95th St",
            "city": "Oak Lawn",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604532611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.