Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ahmad Shoubaki, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1982192563

Ahmad Shoubaki, MD is an Anesthesiology in New Lenox, Illinois. Qualified in 2018, 8 years ago. Practices with Premier Anesthesia of Illinois Professional Corporation, a 40-clinician group and works from 2 locations. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1900 Silver Cross Blvd
New Lenox, IL 60451-9509
Phone: (815) 300-7910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 320 E North Ave, Pittsburgh, PA 15212-4772 — (412) 359-3269

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 036159392 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1982192563
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 29, 2018
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025
Mailing address1900 Silver Cross Blvd, New Lenox, IL 60451-9509

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Premier Anesthesia Of Illinois Professional Corporation — 40 clinicians
Accepts Medicare assignment Not indicated

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