Organization
ELITE PHYSICIANS MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDELKHALIQ ISAM QASEM (OWNER)
(708) 741-7944
Entity
Organization
Contact information
Practice address
9634 S ROBERTS RD STE 100, HICKORY HILLS, IL 60457-2238
(708) 741-7944
(708) 741-7941
Mailing address
9634 S ROBERTS RD STE 100, HICKORY HILLS, IL 60457-2238
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
06/20/2024
Last updated
04/02/2026
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