JAWDAT ABBOUD, MD — NPI 1417964370 (Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center in OAK BROOK, IL)

CMS-1500 Box 24J / 33a • NPI

1417964370

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

261QP2300X

Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center

Box 32 Service Location & ZIP+4

2425 W. 22ND ST. #205, OAK BROOK, IL, 60523-1934

✓ 9-Digit EDI 837 ZIP+4 (60523-1934)

Practice Phone & Referral Fax

(630) 974-1400

Fax: (188) 846-6332

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1417964370 (JAWDAT ABBOUD, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1417964370` (NPI-1 Individual Practitioner)
Provider / Legal Name	JAWDAT ABBOUD, MD
Plain-English Specialty	Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center NUCC Code: `261QP2300X` (Clinic/Center, Primary Care)
Certifying / Licensing Body	Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address	2425 W. 22ND ST. #205, OAK BROOK, IL, 60523-1934
Practice Telephone / Fax	Tel: (630) 974-1400 \| Fax: (188) 846-6332
Administrative Mailing Address	2425 W.22ND STREET #205, OAK BROOK, IL, 60523-1934
Enumeration & Last Sync	Enumerated: 2006-08-02 \| CMS Record Updated: 2022-09-26

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2425 W. 22ND ST. #205, OAK BROOK, IL, 60523-1934

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Plain-English Taxonomy & CMS Crosswalk (261QP2300X)

What Does Taxonomy Code 261QP2300X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QP2300X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (JAWDAT ABBOUD, MD)

Typical CPT / Diagnostic Procedures:

Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures

Common Therapeutic Classes:

Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`261QP2300X` — Clinic/Center, Primary Care Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center	State: IL \| License: `036087208` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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JAWDAT ABBOUD, MD (NPI #1417964370)