Individual provider Active NPI

Ilham Hussaini, PA-C

  • Physician Assistant
  • Arlington Heights, IL
National Provider Identifier
1538870431
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.009396 Issued in IL
Practice address
880 W Central Rd Ste 7200
Arlington Heights, IL 60005-2382
Phone
(847) 618-4430
Fax
(847) 618-0786
NPI assigned
Dec 12, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.009396 IL Primary
Physician Assistant 363A00000X 10004252A IN

Addresses

Primary practice location

880 W Central Rd Ste 7200
Arlington Heights, IL 60005-2382

Mailing address

231 Cimarron Rd E
Lombard, IL 60148-1485
Phone (630) 415-4437

Other practice location 1

231 Cimarron Rd E
Lombard, IL 60148-1485
Phone (630) 415-4437

Other practice location 2

693 W Boughton Rd
Bolingbrook, IL 60440-1752
Phone (630) 521-3664

Other practice location 3

901 MacArthur Blvd
Munster, IN 46321-2901
Phone (219) 703-1991

Other identifiers 1

IdentifierTypeStateIssuer
300084860MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240102001035 IN Practitioner - Physician Assistant 0648620773 Reassigns benefits to 1 organization
I20250321001385 IL Practitioner - Physician Assistant 0648620773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians

Practice addresses (Care Compare)

2650 Ridge Ave
Evanston, IL 60201-1700

800 W Central Rd
Arlington Heights, IL 60005-2349
Phone (847) 618-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.009396ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc Physician Assistant CurrentSince Jan 1, 2024 Accepting new patients
Endeavor Health Medical Group Past Accepting new patients

Locations

8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1538870431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 CIMARRON RD E",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601481485",
            "telephone_number": "630-415-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W CENTRAL RD STE 7200",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052382",
            "telephone_number": "847-618-4430",
            "fax_number": "847-618-0786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 Cimarron Rd E",
            "address_purpose": "LOCATION",
            "city": "Lombard",
            "state": "IL",
            "postal_code": "601481485",
            "country_code": "US",
            "telephone_number": "630-415-4437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "693 W Boughton Rd",
            "address_purpose": "LOCATION",
            "city": "Bolingbrook",
            "state": "IL",
            "postal_code": "604401752",
            "country_code": "US",
            "telephone_number": "630-521-3664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 MacArthur Blvd",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463212901",
            "country_code": "US",
            "telephone_number": "219-703-1991",
            "fax_number": "219-836-6796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSSAINI",
        "first_name": "ILHAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.009396",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10004252A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300084860",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

Verify at the official NPI Registry.