1. Home
  2. Directory
  3. Illinois
  4. Park Ridge
  5. Pediatrics
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAMEL IZZUDDIN MANSUR MD
NPI 1972229730
Pediatrics in Park Ridge, IL

Active since October 13, 2022PECOS Enrolled
1675 DEMPSTER ST, PARK RIDGE, IL 60068(847) 318-9300 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 17, 2026, Dec 8, 2022, Oct 13, 2022 (3 updates tracked since 2022).

About Jamel Izzuddin Mansur Md NPPES

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

JAMEL IZZUDDIN MANSUR MD (NPI 1972229730) is an individual pediatrics provider in Park Ridge, Illinois, licensed in Illinois (036177942) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chicago, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1972229730
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJAMEL IZZUDDIN MANSURCredential: MD
Location Address1675 DEMPSTER STPark Ridge, IL 60068-1110
Mailing Address1675 Dempster StPark Ridge, IL 60068-1110 · (847) 318-9300 · Fax (847) 723-9470
Phone(847) 318-9300
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 13, 2022
Last NPPES UpdateJuly 17, 20263 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1972229730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036177942
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1675 DEMPSTER ST, Park Ridge, IL 60068
Open in Google Maps ↗

Secondary Practice Location 1

Location 15841 S Maryland AveChicago, IL 60637-1443 · Phone (888) 824-0200

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jamel Izzuddin Mansur Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305312745
PECOS Enrollment IDI20260414002296
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60068 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

KYUBIN KYUNG DO
Pediatrics
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 318-9300
DR. NOUR AKHRAS M.D.
Pediatrics
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 318-9300
DR. JURAT SINGH RAJPAL M.D.
Pediatrics (Pediatric Nephrology)
1675 DEMPSTER ST, SECOND FLOOR
PARK RIDGE, IL 60068
Cook County (847) 318-9330
DR. CHRISTOPHER M JAMERSON M.D.
Pediatrics
1675 DEMPSTER ST, YACKTMAN PAVILION
PARK RIDGE, IL 60068
Cook County (847) 723-9557
SUSAN MICHELE UNFER M.D.
Pediatrics
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 318-9300
DR. WILLIAM RICHARD GOODELL M.D.
Pediatrics (Pediatric Hematology-Oncology)
1675 DEMPSTER ST, 2ND FLOOR
PARK RIDGE, IL 60068
Cook County (847) 723-9400
RABIAH BASITH
Pediatrics
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 318-9300
JASPER KUHN MD
Pediatrics
1675 DEMPSTER ST
PARK RIDGE, IL 60068
Cook County (847) 723-2210

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 Jamel Mansur's NPI number?

The NPI number for Jamel Mansur is 1972229730. It was assigned to this individual provider in the NPPES registry on October 13, 2022.

Where is Jamel Mansur located?

Jamel Mansur practices at 1675 Dempster St, Park Ridge, IL 60068. The listed phone number is (847) 318-9300.

What is Jamel Mansur's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jamel Mansur enrolled in Medicare?

Yes. Jamel Mansur is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jamel Mansur was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.