Individual provider Active NPI

Qutaibah Khatib, M.D.

  • Internal Medicine Physician
  • Oakbrook Terrace, IL
National Provider Identifier
1720344336
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036137112 Issued in IL
Practice address
1S280 Summit Ave Ste C4
Oakbrook Terrace, IL 60181-3948
Phone
(630) 932-9690
NPI assigned
Apr 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036137112 IL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1S280 Summit Ave Ste C4
Oakbrook Terrace, IL 60181-3948

Mailing address

1S280 Summit Ave Ste C4
Oakbrook Terrace, IL 60181-3948
Phone (630) 932-9690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150716001970 IL Practitioner - Internal Medicine 2567695430 Reassigns benefits to 1 organization
I20240627002100 MI Practitioner - Internal Medicine 2567695430 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healogics Specialty Physicians of Illinois, LLC Internal Medicine CurrentSince Aug 31, 2015 Accepting new patients
Healogics Specialty Physicians of Michigan, PLLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

5220 Belfort Rd
Ste 130
Jacksonville, FL 32256
Phone (904) 446-3686

14255 Cicero Ave
Crestwood, IL 60418
Phone (708) 371-0400

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

5409 N Knoxville Ave
Peoria, IL 61614
Phone (309) 691-1000

1324 N Sheridan Rd
Waukegan, IL 60085
Phone (847) 360-3000

320 E Warwick Dr
Alma, MI 48801
Phone (989) 463-4971

370 E Chicago St
Ste 700
Coldwater, MI 49036
Phone (517) 279-5099

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.

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1720344336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S280 SUMMIT AVE STE C4",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813948",
            "telephone_number": "630-932-9690",
            "fax_number": "630-932-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S280 SUMMIT AVE STE C4",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813948",
            "telephone_number": "630-932-9690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHATIB",
        "first_name": "QUTAIBAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-09",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036137112",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

Verify at the official NPI Registry.