ELITE PHYSICIANS MEDICAL GROUP INC
NPI 1528802956
Family Medicine in Hickory Hills, IL

Active since June 20, 2024CLIA 14D2307985 · Waiver
9634 S ROBERTS RD STE 100, HICKORY HILLS, IL 60457(708) 741-7944(708) 741-7941 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Apr 2, 2026, Feb 6, 2025, Jun 20, 2024 (3 updates tracked since 2024).

About Elite Physicians Medical Group Inc NPPES

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

ELITE PHYSICIANS MEDICAL GROUP INC (NPI 1528802956) is a healthcare organization registered as a family medicine in Hickory Hills, Illinois and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through July 17, 2028 and lists Abdelkhaliq Isam Qasem, Owner, as its authorized official.

NPPES Registry Identity

NPI1528802956
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameELITE PHYSICIANS MEDICAL GROUP INC
Location Address9634 S ROBERTS RD STE 100Hickory Hills, IL 60457-2238
Mailing Address9634 S Roberts Rd Ste 100Hickory Hills, IL 60457-2238
Fax(708) 741-7941
Organization SubpartNo
Authorized OfficialAbdelkhaliq Isam QasemOwner · (708) 741-7944
Enumeration DateJune 20, 2024
Last NPPES UpdateApril 2, 20263 updates tracked since enumeration
NPPES CertifiedApril 2, 2026
NPI 1528802956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
9634 S ROBERTS RD STE 100, Hickory Hills, IL 60457

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2307985

Elite Physicians Medical Group Inc · Hickory Hills, IL
Active · expires Jul 17, 2028
CLIA Number14D2307985
Laboratory TypePhysician Office
Certificate Effective DateJuly 18, 2026
Certificate Expiration DateJuly 17, 2028
Laboratory DirectorAbdelkhaliq I. Qasem
Laboratory Phone(708) 380-8888
Laboratory LocationElite Physicians Medical Group Inc9634 S Roberts Rd, Hickory Hills, IL 60457
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Elite Physicians Medical Group Inc's NPI number?

The NPI number for Elite Physicians Medical Group Inc is 1528802956. It was assigned to this organization in the NPPES registry on June 20, 2024.

Where is Elite Physicians Medical Group Inc located?

Elite Physicians Medical Group Inc is located at 9634 S Roberts Rd Ste 100, Hickory Hills, IL 60457. The listed phone number is (708) 741-7944.

What is Elite Physicians Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Elite Physicians Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2307985) is associated with this NPI, valid through July 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elite Physicians Medical Group Inc was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.