Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

WESAM SOUROUR MD
NPI 1578059499
Pediatrics - Pediatric Critical Care Medicine in Chicago, IL

Q: What is Wesam Sourour's NPI number?

The NPI number for Wesam Sourour is 1578059499. It was assigned to this individual provider in the NPPES registry on July 3, 2018.

Q: What is Wesam Sourour's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Wesam Sourour was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 03, 2018PECOS Enrolled

225 E CHICAGO AVE, CHICAGO, IL 60611(312) 227-4100(312) 227-9640 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2026, Jun 5, 2024, Jun 17, 2021 and 1 more (4 updates tracked since 2018).

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About Wesam Sourour Md NPPES

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

WESAM SOUROUR MD (NPI 1578059499) is an individual pediatric critical care medicine provider in Chicago, Illinois, licensed in Illinois (036168771) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1578059499

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameWESAM SOUROURCredential: MD

Location Address225 E CHICAGO AVEChicago, IL 60611-2991

Mailing Address225 E Chicago AveChicago, IL 60611-2991 · (312) 227-4100 · Fax (312) 227-9640

Phone(312) 227-4100

Fax(312) 227-9640

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 3, 2018

Last NPPES UpdateAugust 6, 20264 updates tracked since enumeration

NPPES CertifiedAugust 6, 2026

✔ NPI 1578059499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in IL · 036168771

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License 036168771 (IL)

225 E CHICAGO AVE, Chicago, IL 60611

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Other Identifiers 1

Medicaid036168771IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wesam Sourour Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325395338

PECOS Enrollment IDI20260611003532

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

BESSEY ELIZABETH JOSE GEEVARGHESE DO

Pediatrics