Healthcare Provider Details

I. General information

NPI: 1609258458
Provider Name (Legal Business Name): KARIM AL-SABEK
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2015
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9040 RIDGE CT
WILLOW SPRINGS IL
60480-1190
US

IV. Provider business mailing address

9040 RIDGE CT
WILLOW SPRINGS IL
60480-1190
US

V. Phone/Fax

Practice location:
  • Phone: 516-754-8822
  • Fax:
Mailing address:
  • Phone: 516-754-8822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberME163523
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberC192844
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number3195-320
License Number StateWI
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036.164970
License Number StateIL
# 5
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD491359C
License Number StatePA
# 6
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01079488A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: