# MEDIVERSE PROFESSIONAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902695497
- **Authorized official:** USMAN KAREEM QADEER MD (PRESIDENT)
- **Authorized official phone:** (574) 800-1646

## Contact information

- **Practice address:** 2210 MIDWEST RD STE 111, OAK BROOK, IL 60523-8206
- **Practice address phone:** (888) 632-1240
- **Mailing address:** 2210 MIDWEST RD STE 111, OAK BROOK, IL 60523-8206
- **Mailing address phone:** (888) 632-1240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | Yes |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084V0102X | Vascular Neurology Physician | — | NULL | — |
| 2084V0102X | Vascular Neurology Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 05/02/2025
- **Last updated:** 10/02/2026
