Individual provider Active NPI

Abdelkhaliq Isam Qasem, MD

  • Internal Medicine Physician
  • Hickory Hills, IL
National Provider Identifier
1639707532
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125.076994 Issued in IL
Practice address
9634 S Roberts Rd
Hickory Hills, IL 60457-2238
Phone
(708) 741-7944
Fax
(708) 741-7941
NPI assigned
Mar 28, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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 125.076994 IL Primary

Addresses

Primary practice location

9634 S Roberts Rd
Hickory Hills, IL 60457-2238

Mailing address

9634 S Roberts Rd
Hickory Hills, IL 60457-2238
Phone (708) 741-7944

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
I20240220003296 IL Practitioner - Internal Medicine 6204270085 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Med Urgent Care LLCGroup PAC ID 4688011885, 4 clinicians

Practice addresses (Care Compare)

9634 S Roberts Rd
Hickory Hills, IL 60457-2238
Phone (708) 380-8888

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.076994ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
3H Medical Group SC Internal Medicine CurrentSince Feb 3, 2024 Accepting new patients
Elite Med Urgent Care LLC CurrentSince Jan 1, 2024 Accepting new patients
Urgiclinic Urgent Care PLLC CurrentSince Jan 7, 2024 Accepting new patients

Locations

7124 W 83rd St
Unit 3
Bridgeview, IL 60455
Phone (708) 314-0307

7124 W 83rd St
Unit C
Bridgeview, IL 60455
Phone (708) 788-5088

9325 S Roberts Rd
Hickory Hills, IL 60457
Phone (708) 598-8999

9634 S Roberts Rd
Ste 100
Hickory Hills, IL 60457
Phone (708) 380-8888

9634 S Roberts Rd
Hickory Hills, IL 60457
Phone (708) 380-8888

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 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": "1585353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1639707532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9634 S ROBERTS RD",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604572238",
            "telephone_number": "708-741-7944",
            "fax_number": "708-741-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9634 S ROBERTS RD",
            "city": "HICKORY HILLS",
            "state": "IL",
            "postal_code": "604572238",
            "telephone_number": "708-741-7944",
            "fax_number": "708-741-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QASEM",
        "first_name": "ABDELKHALIQ",
        "middle_name": "ISAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-28",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.076994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory Hills, IL

Sources for this page

Verify at the official NPI Registry.