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ILLINOIS MEDICAL CARE LTD
NPI 1508980889
Internal Medicine in Chicago, IL

Active since March 19, 2007
5025 N PAULINA ST, CHICAGO, IL 60640(773) 931-8082(888) 847-9526 Get Directions Write a Review

NPPES record last updated: January 30, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Illinois Medical Care Ltd NPPES

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

ILLINOIS MEDICAL CARE LTD (NPI 1508980889) is a healthcare organization registered as an internal medicine in Chicago, Illinois and active in the NPI registry since March 2007. The organization lists Maher Al-koubaytari, President, as its authorized official.

NPPES Registry Identity

NPI1508980889
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameILLINOIS MEDICAL CARE LTD
Location Address5025 N PAULINA STChicago, IL 60640-2772
Mailing Address1721 Greendale AvePark Ridge, IL 60068-1926 · (773) 931-8082 · Fax (888) 847-9526
Phone(773) 931-8082
Fax(888) 847-9526
Organization SubpartNo
Authorized OfficialMaher Al-koubaytariPresident · (773) 931-8082
Enumeration DateMarch 19, 2007
Last NPPES UpdateJanuary 30, 2018
✔ NPI 1508980889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036094781
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5025 N PAULINA ST, Chicago, IL 60640
Open in Google Maps ↗

Other Identifiers 1

Medicaid036094781IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Illinois Medical Care Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Illinois Medical Care Ltd, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Maher Al-Koubaytari, M.D.
Internal Medicine
NPI 1437124419
5025 N PAULINA ST
Chicago, IL 60640
(708) 478-7201
✔ PECOS✔ Accepts MedicareSame address
Jay Declarador
Nurse Practitioner
NPI 1417460502
332 S MICHIGAN AVE
Chicago, IL 60604
(888) 660-4425
✔ PECOS✔ Accepts Medicare7.0 mi
Mutazz Darweesh, M.D.
Internal Medicine
NPI 1205934395
1801 WEST 47TH STREET CHILDRENS MEDICAL CENTER
Chicago, IL 60609
(773) 847-9004
✔ PECOS✔ Accepts Medicare11 mi
Mohamed Jabri, MD
Internal Medicine
NPI 1013026004
1149 DICKENS AVE
Naperville, IL 60563
(630) 548-1407
✔ PECOS✔ Accepts Medicare27 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Illinois Medical Care Ltd's NPI number?

The NPI number for Illinois Medical Care Ltd is 1508980889. It was assigned to this organization in the NPPES registry on March 19, 2007.

Where is Illinois Medical Care Ltd located?

Illinois Medical Care Ltd is located at 5025 N Paulina St, Chicago, IL 60640. The listed phone number is (773) 931-8082.

What is Illinois Medical Care Ltd's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Illinois Medical Care Ltd enrolled in Medicare?

Yes. Illinois Medical Care Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Illinois Medical Care Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Illinois Medical Care Ltd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (3) and Nurse Practitioner (1). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Illinois Medical Care Ltd was last updated on January 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.