DR. MICHAEL POURTABIB M.D. NPI 1508870379

NPI Information

  • NPI: 1508870379
  • Provider Name: DR. MICHAEL POURTABIB, M.D.
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Individual
  • Address: 100 SPALDING DR
    SUITE 102
    NAPERVILLE, IL
    ZIP 60540
  • Phone: (630) 355-5860

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NPI Details

DR. Michael Pourtabib, M.D. is an obstetrics gynecology in Naperville, IL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Michael Pourtabib, M.D. NPI is 1508870379. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 SPALDING DR
SUITE 102
NAPERVILLE, IL
ZIP 60540-550
Phone: (630) 355-5860

The enumeration date for this NPI number is 7/28/2006 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C39549MEDICARE UPINILLINOIS
2314240MEDICARE ID-TYPE UNSPECIFIEDILLINOISPROVIDER NUMBER
32215455OTHERILLINOISBLUE CROSS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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