NGR LLC (NPI# 1063046019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | STATE LICENCE | 036078622 | 01 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | NGR LLC | 22015 44th Pl S, Kent, WA 98032-1823 |
Street Address |
1111 SUPERIOR ST SUITE 304 |
City | MELROSE PARK |
State | IL |
Zip Code | 60160-4156 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 60160 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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 |
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---|---|---|---|---|
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 |
City | MELROSE PARK |
Zip Code | 60160 |
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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.