NPIMap

Individual provider Active NPI

Tariq Moh'D Suleiman Mubarak, M.D

  • Hospitalist Physician
  • Oak Park, IL
National Provider Identifier
1811254303
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036.138060 Issued in IL
Practice address
101 Madison St Ste 300
Oak Park, IL 60302-4210
Phone
(708) 486-2700
Fax
(708) 486-2702
NPI assigned
Apr 20, 2012
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 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 036138060 IL
Hospitalist Physician 208M00000X 036.138060 IL Primary

Addresses

Primary practice location

101 Madison St Ste 300
Oak Park, IL 60302-4210

Mailing address

101 Madison St Ste 300
Oak Park, IL 60302-4210
Phone (708) 486-2700

Other practice location 1

1045 W Stephenson St
Freeport, IL 61032-4864
Phone (815) 599-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150713002318 IL Practitioner - Internal Medicine 1951614478 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cimpar SCGroup PAC ID 3577578798, 35 clinicians

Practice addresses (Care Compare)

101 Madison St
Suite 300
Oak Park, IL 60302-4210
Phone (708) 486-2700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036138060ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Chicago, Inc. CurrentSince Aug 23, 2022 Accepting new patients
Loyola University Medical Center Current Accepting new patients
Freeport Memorial Hospital CurrentSince Dec 25, 2022 Accepting new patients
Cimpar, S.C. Internal Medicine CurrentSince Jul 13, 2015 Accepting new patients
Cimpar Consulting, LLC CurrentSince Mar 15, 2017 Accepting new patients
Insight Chicago, Inc. Internal Medicine CurrentSince Aug 23, 2022 Accepting new patients

Locations

2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153

5730 W Roosevelt Rd
Chicago, IL 60644
Phone (773) 413-1700

1045 W Stephenson St
Freeport, IL 61032
Phone (815) 599-6105

1111 Superior St
Ste 104
Melrose Park, IL 60160

101 Madison St
Ste 300
Oak Park, IL 60302
Phone (773) 849-9406

Interoperability endpoints

  • Direct secure messaging: mubarak.tariq.001.0130198@cimpar.meditab.direct-ci.com
  • Direct secure messaging: tmubarak78142@direct.luhs.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Aperion Care Forest ParkForest Park, IL, CCN 145969 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jul 1, 2007
Jul 1, 2007
Warren Barr Lincoln ParkChicago, IL, CCN 145875 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2024
Jan 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1811254303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 MADISON ST STE 300",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024210",
            "telephone_number": "708-486-2700",
            "fax_number": "708-486-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MADISON ST STE 300",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603024210",
            "telephone_number": "708-486-2700",
            "fax_number": "708-486-2702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1045 W Stephenson St",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "IL",
            "postal_code": "610324864",
            "country_code": "US",
            "telephone_number": "815-599-6000",
            "fax_number": "815-599-7974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUBARAK",
        "first_name": "TARIQ",
        "middle_name": "MOH'D SULEIMAN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-20",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036138060",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036.138060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

Verify at the official NPI Registry.