Organization Active NPI

Summit Center for Health, LLC

  • Multi-Specialty Clinic/Center
  • Oakbrook Terrace, IL
National Provider Identifier
1619212800
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
03330001 Issued in IL
Legal business name
SUMMIT CENTER FOR HEALTH, LLC
Practice address
1S210 Summit Ave
Oakbrook Terrace, IL 60181-3933
Phone
(630) 282-6000
Fax
(630) 282-7322
NPI assigned
Nov 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Authorized official

Name
Dr. Ibrahim A Majzoub, M.D.NPI 1366537409
Title
Ceo / President
Phone
(630) 282-6000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 03330001 IL Primary

Addresses

Primary practice location

1S210 Summit Ave
Oakbrook Terrace, IL 60181-3933

Mailing address

1S210 Summit Ave
Oakbrook Terrace, IL 60181-3933
Phone (630) 282-6000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251104003582 IL Part B Supplier - Clinic/Group Practice 8325538895 Receives reassigned benefits from 6 practitioners
Practice locations: Oakbrook Terrace, IL

National Provider Directory

National Provider Directory
Tax ID family
Summit Center for Health LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

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": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354147200000",
    "number": "1619212800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S210 SUMMIT AVE",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813933",
            "telephone_number": "630-282-6000",
            "fax_number": "630-282-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S210 SUMMIT AVE",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813933",
            "telephone_number": "630-282-6000",
            "fax_number": "630-282-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT CENTER FOR HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2012-11-29",
        "status": "A",
        "authorized_official_last_name": "MAJZOUB",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO / PRESIDENT",
        "authorized_official_telephone_number": "630-282-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "IL",
            "license": "03330001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; 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.