HEALTHWORKS MEDICAL GROUP OF ILLINOIS S C (NPI# 1033494976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033494976 |
| Entity Type | Organization |
| Organization Name | HEALTHWORKS MEDICAL GROUP OF ILLINOIS S C |
| Other Organization Name | WALGREENS HEALTHY LIVING HEALTH CENTER |
| Practice Address |
108 Wilmot Rd Deerfield IL 60015-5145 |
| Mailing Address |
5500 Maryland Way Ste 120 Brentwood TN 37027-4993 |
| Practice Telephone | 8475800002 |
| Practice Fax Number | 8473740207 |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | DR. STEVEN A HINITT (PRESIDENT) |
| Authorized Official Telephone | 8444077557 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Walgreens Healthy Living Center Deerfield | Doing Business As Name - Organization |
| Walgreens Healthy Living Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386099562 | Healthworks Medical Group of Illinois S C | Clinic/Center | Gem Building 723, 1st Floor, Touhy & Mt Prospect Rd, Chicago, IL 60666 | 2016-04-26 |
| 1235584475 | Healthworks Medical Group of Illinois S C | Clinic/Center | Terminal 3, K19 Concourse, Ramp Level Rm 100, Touhy & Mt Prospect Rd, Chicago, IL 60666 | 2016-04-25 |
| 1518204650 | Healthworks Medical Group of Illinois S C | Clinic/Center | 11601 W Touhy Ave, O'hare International Airport- Terminal 2- Lower Level, Chicago, IL 60666-5047 | 2013-01-09 |
| 1427366921 | Healthworks Medical Group of Illinois S C | Clinic/Center | 5100 Lake Terrance Ne, Mount Vernon, IL 62864-9665 | 2010-09-17 |
| 1477881845 | Healthworks Medical Group of Illinois S C | Clinic/Center | 300 E Randolph St # Cl404, Chicago, IL 60601-5099 | 2009-11-24 |
| 1205300159 | Healthworks Medical Group of Illinois S C | Clinic/Center | 108 W Main St, Mt Sterling, IL 62353-1224 | 2019-01-14 |
| 1073025235 | Healthworks Medical Group of Illinois S C | Clinic/Center | 4979 Indiana Ave Ste 312, Lisle, IL 60532 | 2017-10-27 |
| 1083006001 | Healthworks Medical Group of Illinois S C | Clinic/Center | 6150 Joliet Rd, Countryside, IL 60525-3956 | 2015-02-27 |
| 1770999872 | Healthworks Medical Group of Illinois S C | Clinic/Center | 2801 S Springfield Ave, Rockford, IL 61102-4205 | 2014-07-09 |
| 1588940019 | Healthworks Medical Group of Illinois S C | General Practice | 2775 Sanders Rd, Suite C1, Northbrook, IL 60062-6110 | 2011-10-28 |
| Street Address |
108 WILMOT RD |
| City | DEERFIELD |
| State | IL |
| Zip Code | 60015-5145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437118361 | Mitul Desai | Internal Medicine | 108 Wilmot Rd, Deerfield, IL 60015-5145 | 2006-03-20 |
| 1710384052 | Walgreens Boots Alliance Inc | Pharmacy | 108 Wilmot Rd, Deerfield, IL 60015-5145 | 2014-12-02 |
| 1134526171 | David Fireside | Specialist | 108 Wilmot Rd, Deerfield, IL 60015-5145 | 2014-11-19 |
| 1780952903 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 108 Wilmot Rd, Deerfield, IL 60015-5145 | 2011-12-02 |
| 1891958112 | George Spencer Patton II | Internal Medicine | 108 Wilmot Rd, Ms 1820, Deerfield, IL 60015-5145 | 2008-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467073569 | Steven A Ditgen | Physical Therapist | 43 N. Waukegan Road, Deerfield, IL 60015 | 2020-04-29 |
| 1760017255 | Amanda Barkley | Pharmacist | 200 Wilmont Rd, Deerfield, IL 60015 | 2020-03-05 |
| 1467001487 | Nora Fahmi | Pharmacist | Walgreen Co., 200 Wilmot Road, Deerfield, IL 60015 | 2019-09-11 |
| 1477105187 | Anthony Greis | Obstetrics & Gynecology | 540 Lake Cook Road, Suite 300, Deerfield, IL 60015 | 2019-07-12 |
| 1528628484 | Cynthia Lynne Mckinzie | Psychologist | The Neuroscience Center, 440 Lake Cook Road, Deerfield, IL 60015 | 2019-06-13 |
| 1073084497 | Mary Jeane Jeane Velez | Nurse Practitioner | Brentwood Rehabilitation Center, 3705 Deerfield Rd., Deerfield, IL 60015 | 2018-12-11 |
| 1891264644 | Smile On of North Shore, PC | Dentist | 707 Lake Cook Rd., Suite 121, Deerfield, IL 60015 | 2018-11-21 |
| 1497236376 | Linda Li | Counselor | 15 Parkway North Blvd, Deerfield, IL 60015 | 2018-08-28 |
| 1174009831 | Rachael Michelle Lynn | Physician Assistant | 1302 Hazel Ave, Deerfield, IL 60015 | 2018-07-16 |
| 1730675182 | Alexandra Lee Joseph | Social Worker | 420 Lake Cook Road, Suite 113, Deerfield, IL 60015 | 2018-07-09 |
| Find all providers in zip 60015 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033724901 | Ar Healthcare | Clinic/Center | 11 E Main St Ste A, St Charles, IL 60174-1925 | 2020-09-08 |
| 1568073674 | Downers Grove Immediate Care Inc. | Clinic/Center | 425 Ogden Ave, Downers Grove, IL 60515-3066 | 2020-08-12 |
| 1538792221 | Greenbax Health Solutions, LLC | Clinic/Center | 4922 W Chicago Ave, Chicago, IL 60651-3142 | 2020-02-20 |
| 1548808728 | Unitypoint Health At Work | Clinic/Center | 1100 13th Ave, East Moline, IL 61244-1455 | 2019-12-18 |
| 1265076749 | Inhome Primecare LLC | Clinic/Center | 6738 N Lockwood Ave, Lincolnwood, IL 60712-3107 | 2019-10-29 |
| 1033760780 | Careatc | Clinic/Center | 600 S Michigan Ave # 402, Chicago, IL 60605-1900 | 2019-09-24 |
| 1356814503 | Thompson Medical Incorporated | Clinic/Center | 933 E Hyde Park Blvd Ste G, Chicago, IL 60615-2722 | 2019-01-09 |
| 1598248106 | Granite City Clinic Corp | Clinic/Center | 602 Farrish St, Madison, IL 62060-1567 | 2018-09-10 |
| 1497251037 | Thomas L Pitts, Md LLC | Clinic/Center | 233 E Erie St Ste 702, Chicago, IL 60611-5933 | 2018-04-03 |
| 1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.