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

Nusaybah Ismail

Individual provider Physician Assistant · NPI 1679942601

Nusaybah Ismail is a Physician Assistant in Morton Grove, Illinois. Qualified in 2015, 11 years ago. Practices with Ottumwa Health Group LLC, a 27-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2015
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Practice location Address checks out

9000 Waukegan Rd Ste 200
Morton Grove, IL 60053-2127
Phone: (847) 375-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085-005644 (IL)

Record details

NPI number1679942601
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 21, 2015
Last updated in NPPESSeptember 21, 2015
Mailing address900 Rand Rd, Suite 300, Des Plaines, IL 60016-2359

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ottumwa Health Group Llc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Morton Grove