Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MEDIVERSE PROFESSIONAL GROUP PLLC
NPI 1447175138
Clinic/Center - Mental Health (Including Community Mental Health Center) in Oak Brook, IL

Active since August 11, 2026
2210 MIDWEST RD STE 111, OAK BROOK, IL 60523(888) 632-1240(312) 807-3550 Get Directions Write a Review

NPPES record added: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mediverse Professional Group Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDIVERSE PROFESSIONAL GROUP PLLC (NPI 1447175138) is a healthcare organization registered as a mental health (including community mental health center) in Oak Brook, Illinois and active in the NPI registry since August 2026. The organization lists Usman K Qadeer, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1447175138
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMEDIVERSE PROFESSIONAL GROUP PLLC
Location Address2210 MIDWEST RD STE 111Oak Brook, IL 60523-8206
Mailing Address2210 Midwest Rd Ste 111Oak Brook, IL 60523-8206 · (888) 632-1240 · Fax (312) 807-3550
Fax(312) 807-3550
Organization SubpartNo
Authorized OfficialUsman K QadeerAuthorized Official · (607) 738-0240
Enumeration DateAugust 11, 2026
NPPES CertifiedAugust 11, 2026
NPI 1447175138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
2210 MIDWEST RD STE 111, Oak Brook, IL 60523

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
2210 MIDWEST RD STE 111
OAK BROOK, IL 60523
Behavior Technician
2210 MIDWEST RD STE 111
OAK BROOK, IL 60523
Psychiatry & Neurology (Neurology)
2210 MIDWEST RD STE 111
OAK BROOK, IL 60523

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mediverse Professional Group PLLC's NPI number?

The NPI number for Mediverse Professional Group PLLC is 1447175138. It was assigned to this organization in the NPPES registry on August 11, 2026.

Where is Mediverse Professional Group PLLC located?

Mediverse Professional Group PLLC is located at 2210 Midwest Rd Ste 111, Oak Brook, IL 60523. The listed phone number is (888) 632-1240.

What is Mediverse Professional Group PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Mediverse Professional Group PLLC was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.