Individual provider Active NPI

Nuha Mulk, MD

  • Internal Medicine Physician
  • Elmhurst, IL
National Provider Identifier
1629539150
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036.160352 Issued in IL
Practice address
172 E Schiller St
Elmhurst, IL 60126-2816
Phone
(331) 221-9001
Fax
(331) 221-2315
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036.160352 IL Primary

Addresses

Primary practice location

172 E Schiller St
Elmhurst, IL 60126-2816

Mailing address

172 E Schiller St
Elmhurst, IL 60126-2816
Phone (331) 221-9001

Other practice location 1

3100 W Higgins Rd
Hoffman Estates, IL 60169-7251
Phone (847) 884-7111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nmulk250290@dulyhealthandcare.direct-ci.com Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220815000301 IL Practitioner - Internal Medicine 7719212133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2018
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)

172 E Schiller St
Elmhurst, IL 60126-2816
Phone (331) 221-9001

2650 Ridge Ave
Evanston, IL 60201-1700

Hospital & facility affiliations

  • Residential Home Health Home health agency, Lisle, IL, CCN 147568
  • Elmhurst Memorial Hospital Hospital, Elmhurst, IL, CCN 140200
  • Edward Hospital Hospital, Naperville, IL, CCN 140231
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.160352ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Endeavor Health Medical Group CurrentSince Jul 1, 2024 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

172 E Schiller St
Elmhurst, IL 60126
Phone (331) 221-6377

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 1304
Evanston, IL 60201
Phone (847) 570-1010

Interoperability endpoints

  • Direct secure messaging: nmulk250290@dulyhealthandcare.direct-ci.com
  • Direct secure messaging: nmulk279027@direct.edward.org

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1629539150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 E SCHILLER ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262816",
            "telephone_number": "331-221-9001",
            "fax_number": "331-221-2315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 E SCHILLER ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262816",
            "telephone_number": "331-221-9001",
            "fax_number": "331-221-2315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 W Higgins Rd",
            "address_purpose": "LOCATION",
            "city": "Hoffman Estates",
            "state": "IL",
            "postal_code": "601697251",
            "country_code": "US",
            "telephone_number": "847-884-7111",
            "fax_number": "847-884-7156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULK",
        "first_name": "NUHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036.160352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmulk250290@dulyhealthandcare.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3100 W Higgins Rd",
            "city": "Hoffman Estates",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601697251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

Verify at the official NPI Registry.