Mediverse Professional Group PLLC
Clinic/Center, Multi-Specialty in Oak Brook, IL. Organization (NPI-2).
NPI number1902695497
StatusActive
Last updated in NPPESOct 2, 2026
Details
- NPI
- 1902695497
- Entity type
- Organization (NPI-2)
- Legal business name
- Mediverse Professional Group PLLC
- Organization subpart
- No
- Enumeration date
- May 2, 2025
- Certification date
- Oct 2, 2026
- Last updated
- Oct 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1300X | Clinic/Center, Multi-Specialty | – | – | Yes |
| 2084N0400X | Psychiatry & Neurology, Neurology | – | – | |
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | |
| 2084V0102X | Psychiatry & Neurology, Vascular Neurology | – | – |
Practice location
2210 Midwest Rd Ste 111Oak Brook, IL 60523-8206
Phone 888-632-1240
Mailing address
2210 Midwest Rd Ste 111Oak Brook, IL 60523-8206
Phone 888-632-1240
Authorized official
Usman Kareem Qadeer
President
5748001646
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