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

Jamel Izzuddin Mansur, MD

Individual provider Pediatrics Physician · NPI 1972229730

Jamel Izzuddin Mansur, MD is a Pediatric Medicine in Park Ridge, Illinois. Qualified in 2020, 6 years ago. Works from 2 locations. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2022
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

1675 Dempster St
Park Ridge, IL 60068-1110
Phone: (847) 318-9300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5841 S Maryland Ave, Chicago, IL 60637-1443 — (888) 824-0200

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036177942 (IL)

Record details

NPI number1972229730
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 13, 2022
Last updated in NPPESJuly 17, 2026
Certification dateJuly 17, 2026
Mailing address1675 Dempster St, Park Ridge, IL 60068-1110

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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