GREATER ELGIN FAMILY CARE CENTER (NPI# 1104377175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104377175 |
| Entity Type | Organization |
| Organization Name | GREATER ELGIN FAMILY CARE CENTER |
| Other Organization Name | WILLARD ELEMENTARY |
| Practice Address |
370 W Spring St South Elgin IL 60177-1536 |
| Mailing Address |
370 Summit St Elgin IL 60120-3843 |
| Practice Telephone | 8476086001 |
| Practice Fax Number | 8478416739 |
| Mailing Telephone | 8476086007 |
| Mailing Fax Number | 8478416739 |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |
| Authorized Official Name | JASON CAREY (CFO) |
| Authorized Official Telephone | 8476086053 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| WILLARD ELEMENTARY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769704 | Greater Elgin Family Care Center | Clinic/Center | 451 N Mclean Blvd, Elgin, IL 60123-3239 | 2020-01-23 |
| 1326589821 | Greater Elgin Family Care Center | Clinic/Center | 1100 Huntington Dr, Algonquin, IL 60102-1925 | 2017-03-16 |
| 1427593763 | Greater Elgin Family Care Center | Clinic/Center | 14 Ash St, Carpentersville, IL 60110-1663 | 2016-12-22 |
| 1710421417 | Greater Elgin Family Care Center | Clinic/Center | 321 Terwilliger Ave, Hampshire, IL 60140-9624 | 2016-12-14 |
| 1558804336 | Greater Elgin Family Care Center | Clinic/Center | 407 S 5th St, West Dundee, IL 60118-2840 | 2016-11-28 |
| 1073056958 | Greater Elgin Family Care Center | Clinic/Center | 519 Willow St, Lake In The Hills, IL 60156-1449 | 2016-11-28 |
| 1295278018 | Greater Elgin Family Care Center | Clinic/Center | 315 Garden Cir, Streamwood, IL 60107-1007 | 2016-11-28 |
| 1265975072 | Greater Elgin Family Care Center | Clinic/Center | 6500 Miller Rd, Carpentersville, IL 60110-3620 | 2016-11-28 |
| 1154864973 | Greater Elgin Family Care Center | Clinic/Center | 1401 Compton Dr, Algonquin, IL 60102-5003 | 2016-11-28 |
| 1164965976 | Greater Elgin Family Care Center | Clinic/Center | 540 Longwood Dr, Algonquin, IL 60102-3051 | 2016-11-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GREATER ELGIN FAMILY CARE CENTER | 370 Summit St Ste 1a, Elgin, IL 60120-3843 |
| Street Address |
370 W SPRING ST |
| City | SOUTH ELGIN |
| State | IL |
| Zip Code | 60177-1536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090433 | Ruth Elaine Rayfield | Counselor | 418 North Center Street, Apt# 206, South Elgin, IL 60177 | 2020-10-15 |
| 1730683582 | Pelvic Balance Physical Therapy, LLC | Physical Therapist | 10 N Collins St., South Elgin, IL 60177 | 2018-03-19 |
| 1437693504 | Olaide Olaigbe | Counselor | 690 Fielcrest Drive, Unit A, South Elgin, IL 60177 | 2016-12-08 |
| 1053869461 | Nicole Augustine | Counselor | 418 N. Center Street, South Elgin, IL 60177 | 2016-09-14 |
| 1013351733 | Rehabcare | Skilled Nursing Facility | 746 West Spring Street, South Elgin, IL 60177 | 2013-04-24 |
| 1356578942 | Athletico, Ltd | Physical Therapist | 722 N. Mclean Blvd, South Elgin, IL 60177 | 2009-06-22 |
| 1679708572 | Miller Dentistry LLC | Clinic/Center | 404 Randall Road, South Elgin, IL 60177 | 2009-05-20 |
| 1164666913 | Leah Jennifer Mccloskey | Massage Therapist | 1305 N. Lafox St, South Elgin, IL 60177 | 2009-04-23 |
| 1285898643 | Jennifer Deanne Mercier | Naturopath | 101 South Mclean Bvld, South Elgin, KANE COUNTY 60177 | 2008-07-15 |
| 1295956845 | Megan Ryan | Counselor | 1283 Angeline Dr., South Elgin, IL 60177 | 2007-05-01 |
| Find all providers in zip 60177 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760932990 | Greater Elgin Family Care Center | Clinic/Center | 1275 Jenna Dr, South Elgin, IL 60177-3073 | 2016-10-12 |
| 1912453010 | Greater Elgin Family Care Center | Clinic/Center | 770 Mill St, South Elgin, IL 60177-1743 | 2016-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417567108 | Pillars Community Health | Clinic/Center | 15w458 91st St, Burr Ridge, IL 60527-6379 | 2020-08-06 |
| 1932724390 | Friend Family Health Center, Inc | Clinic/Center | 7355 S Jeffery Blvd, Chicago, IL 60649-3121 | 2020-06-11 |
| 1871117937 | Primecare Community Health Inc | Clinic/Center | 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 | 2020-06-04 |
| 1639791569 | Community Health Partnership of Illinois | Clinic/Center | 201 W Kenyon Rd Bldg D, Champaign, IL 61820-7892 | 2020-05-14 |
| 1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
| 1235769704 | Greater Elgin Family Care Center | Clinic/Center | 451 N Mclean Blvd, Elgin, IL 60123-3239 | 2020-01-23 |
| 1710517537 | Greater Elgin Family Care Center Integrated Health Home | Clinic/Center | 1100 Shirley Ave, Streamwood, IL 60107-3068 | 2020-01-21 |
| 1215578109 | Board of Trustees of Southern Illinois University | Clinic/Center | 205 S 24th St Ste 100, Quincy, IL 62301-4446 | 2019-10-02 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH ELGIN |
| Zip Code | 60177 |
Please comment or provide details below to improve the information on GREATER ELGIN FAMILY CARE CENTER.
| 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.