NGR LLC


Address: 1111 Superior St, Suite 304, Melrose Park, IL 60160-4156
Phone: 7087867100

NGR LLC (NPI# 1063046019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063046019
Entity Type Organization
Organization Name NGR LLC
Practice Address 1111 Superior St
Suite 304
Melrose Park
IL 60160-4156
Mailing Address 1111 Superior St Ste 304
Melrose Park
IL 60160-4156
Practice Telephone 7087867100
Practice Fax Number 7087867101
Mailing Telephone 7087867100
Mailing Fax Number 7087867101
Enumeration Date 2020-02-28
Last Update Date 2020-02-28
Authorized Official Name ELIZABETH ROMERO (OFFICE MANAGER)
Authorized Official Telephone 7737911048
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
IL STATE LICENCE 036078622 01

Other Data Sources

Entity Type Entity Name Entity Address
Washington State Corporations NGR LLC 22015 44th Pl S, Kent, WA 98032-1823

Office Location

Street Address 1111 SUPERIOR ST
SUITE 304
City MELROSE PARK
State IL
Zip Code 60160-4156

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528069481 Peter Evelio Eupierre Internal Medicine 1111 Superior St, Suite 408, Melrose Park, IL 60160-4138 2005-08-02
1528531902 Pipeline Midwest Pharmacies, LLC Pharmacy 1111 Superior St, Melrose Park, IL 60160-4138 2019-01-08
1376903252 Brian Patrick Ervin Physical Therapist 1111 Superior St, Outpatient Physical Therapy, Melrose Park, IL 60160-4138 2016-03-04
1700245982 Midwest Nephrology & Internal Medicine Associates, Corp. Internal Medicine 1111 Superior St, Suite 204, Melrose Park, IL 60160-4156 2016-02-17
1790161289 Malapati Inc Internal Medicine 1111 Superior St, Suite 410, Melrose Park, IL 60160-4138 2015-08-06
1568858223 Kim Mccoy Registered Nurse 1111 Superior St, Suite 101, Melrose Park, IL 60160-4138 2015-04-09
1245636372 Emily Casselbury Nurse Practitioner 1111 Superior St, Suite 104, Melrose Park, IL 60160-4138 2014-11-18
1437553013 Sarah Grebasch Social Worker 1111 Superior St, Melrose Park, IL 60160-4138 2014-10-10
1902207004 Bernie M. Aguilar Registered Nurse 1111 Superior St, Suite 101, Melrose Park, IL 60160-4138 2014-09-08
1326453713 Michelle Garrett Nurse Practitioner 1111 Superior St, Suite 104, Melrose Park, IL 60160-4138 2014-06-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295217651 Kairsten Thies Registered Nurse 1225 W. Lake St., Melrose Park, IL 60160 2018-09-02
1780195701 Julia Mccann-khludenev Nurse Practitioner 153 1/2 Broadway Ave., Melrose Park, IL 60160 2017-10-17
1629595749 Katarzyna Teresa Buksa Speech-Language Pathologist 906 Walton St., Melrose Park, IL 60160 2017-08-29
1972955102 Erika Lazaro Counselor 1414 Main Street, Melrose Park, IL 60160 2016-07-12
1811344096 Margaret Ann Kress Nurse Practitioner 675 W North Ave Ste 402, Melrose Park, IL 60160 2016-05-18
1942578703 Rachna Shah Md Sc Internal Medicine 675 West North Ave, #310, Melrose Park, IL 60160 2011-12-08
1033486741 Stephanie Lamonica Pharmacist 850 West North Ave, T0837, Melrose Park, IL 60160 2011-11-23
1285913384 Melinda Vazquez Social Worker 1414 Main, Melrose Park, IL 60160 2011-08-08
1629373212 Advanced Wellness Clinics Internal Medicine 1835 N Broadway Avenue, Suite 104, Melrose Park, IL 60160 2011-01-13
1508188525 Guillermo Fernando Mora Family Medicine 1111 W Superior, Suite #306, Melrose Park, IL 60160 2010-02-17
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780839407 Susan C Balverde Md Sc Clinic/Center 675 W North Ave, Suite 410, Melrose Park, IL 60160-1634 2008-11-21

Providers in the same taxonomy and state

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
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Competitor

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City MELROSE PARK
Zip Code 60160

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Dataset Information

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.

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