NPIMap

Organization Active NPI

Mediverse Professional Group PLLC

Doing business as Mediverse Urgent Care

  • Family Medicine Physician
  • Oak Brook, IL
National Provider Identifier
1699695791
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDIVERSE PROFESSIONAL GROUP PLLC
Doing business as
Mediverse Urgent Care
Practice address
2210 Midwest Rd Ste 111a
Oak Brook, IL 60523-1280
Phone
(630) 440-7786
NPI assigned
Jul 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Usman K Qadeer, MDNPI 1467728378
Title
Authorized Official
Phone
(607) 738-0240

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

2210 Midwest Rd Ste 111a
Oak Brook, IL 60523-1280

Mailing address

2210 Midwest Rd Ste 111a
Oak Brook, IL 60523-1280

Other names 1

  • MEDIVERSE URGENT CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mediverse Professional Group PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2210 Midwest Rd
Ste 111A
Oak Brook, IL 60523

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1784332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1699695791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 MIDWEST RD STE 111A",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 MIDWEST RD STE 111A",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231280",
            "telephone_number": "630-440-7786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIVERSE PROFESSIONAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-18",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "QADEER",
        "authorized_official_first_name": "USMAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "607-738-0240",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDIVERSE URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.