Individual provider Active NPI

Mahubah Abdallah, FNP-C

  • Family Nurse Practitioner
  • Rochelle, IL
National Provider Identifier
1841752284
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.019190 Issued in IL
Practice address
326 Lake Lida LN
Rochelle, IL 61068-8801
Phone
(815) 231-6655
NPI assigned
Apr 4, 2019
Last updated
Oct 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.019190 IL Primary

Addresses

Primary practice location

326 Lake Lida LN
Rochelle, IL 61068-8801

Mailing address

326 Lake Lida LN
Rochelle, IL 61068-8801
Phone (815) 231-6655

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190828000708 IL Practitioner - Nurse Practitioner 7517295603 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Immediate Care North Chicago LLCGroup PAC ID 8729064159, 256 clinicians

Practice addresses (Care Compare)

1181 N 8TH St
Suite 1
Rochelle, IL 61068-2416
Phone (815) 562-3908

335 E Army Trail Rd
Glendale Heights, IL 60139-1755
Phone (630) 735-1400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.019190ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Jun 28, 2024 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Nov 13, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 15, 2019 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jul 15, 2019 Accepting new patients
CGH Medical Center CurrentSince Nov 22, 2023 Accepting new patients
Vpa PC CurrentSince Jun 28, 2024 Accepting new patients
First Convenient Care LTD CurrentSince Sep 2, 2025 Accepting new patients
Wellnow Urgent Care, PC CurrentSince Dec 1, 2024 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Oct 12, 2019 Accepting new patients
CGH Medical Center CurrentSince Nov 22, 2023 Accepting new patients

Locations

1663 Belvidere Rd
Belvidere, IL 61008
Phone (815) 544-0040

Dept 5777
Carol Stream, IL 60122

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

800 W Fulton Market
Fl 12
Chicago, IL 60607

825 S State St
Chicago, IL 60605
Phone (312) 566-9510

515 Belt Line Rd
Collinsville, IL 62234
Phone (618) 344-7882

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521

335 E Army Trail Rd
Glendale Heights, IL 60139
Phone (630) 389-1681

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

1181 N 8th St
Ste 1
Rochelle, IL 61068
Phone (815) 562-8735

1212 Currency Ct
Rochelle, IL 61068
Phone (815) 227-9594

100 E Lefevre Rd
Sterling, IL 61081
Phone (815) 625-0400

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Organizations & group practices 10

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 1

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": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1841752284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 LAKE LIDA LN",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610688801",
            "telephone_number": "815-231-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 LAKE LIDA LN",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610688801",
            "telephone_number": "815-231-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDALLAH",
        "first_name": "MAHUBAH",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.019190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochelle, IL

Sources for this page

Verify at the official NPI Registry.