Machai Jaleel Cobbs
Individual provider Active NPI Technician · Sauk Village, IL
NPI 1992657167 · NPPES record last updated Feb 11, 2026
Key facts
- NPI
- 1992657167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Technician 374700000X
- License
- C120-5509-7304 (IL)
- Practice address
- 21901 Olivia Ave
Sauk Village, IL 60411-4937 - Phone
- (708) 248-2111
- NPI assigned
- Feb 11, 2026
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C120-5509-7304 | IL | MD | Technician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician | 374700000X | C120-5509-7304 | IL | Yes |
Addresses
Primary practice location
21901 Olivia Ave
Sauk Village, IL 60411-4937
Mailing address
21901 Olivia Ave
Sauk Village, IL 60411-4937
Other providers in Sauk Village, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.