MARCON MEDICAL PARTNERS INC (NPI# 1114358017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114358017 |
| Entity Type | Organization |
| Organization Name | MARCON MEDICAL PARTNERS INC |
| Practice Address |
1140 N Mclean Blvd Unit C Elgin IL 60123-1782 |
| Practice Telephone | 2245585493 |
| Mailing Telephone | 2245585493 |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-22 |
| Authorized Official Name | DR. SAJJAD MURTAZA (PHYSICIAN) |
| Authorized Official Telephone | 8479718991 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
085002516 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207R00000X | Internal Medicine | 036117058 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ILLINOIS LICENSE | 036117058 | 01 |
| Street Address |
1140 N MCLEAN BLVD UNIT C |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-1782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730236035 | Angel Gomez-galan | Internal Medicine | 1140 N Mclean Blvd, Ste E, Elgin, IL 60123-1782 | 2007-01-05 |
| 1144837204 | Winter Ashley Lane | Social Worker | 1140 N Mclean Blvd, Elgin, IL 60123-1782 | 2020-09-23 |
| 1912518564 | Ana Karen Perales | Community Health Worker | 1140 N Mclean Blvd, Elgin, IL 60123-1782 | 2020-08-16 |
| 1669083432 | Farrah Pece | Counselor | 1140 N Mclean Blvd, Elgin, IL 60123-1782 | 2020-08-13 |
| 1649894502 | Jonpaul Michel Figueroa | Counselor | 1140 N Mclean Blvd, Elgin, IL 60123-1782 | 2020-06-05 |
| 1891316345 | Sandybel Aile Hernandez | Social Worker | 1140 N Mclean Blvd, Elgin, IL 60123-1782 | 2020-05-06 |
| 1881215754 | Renee R Sweeney | Community Health Worker | 1140 N Mclean Blvd, Elgin, IL 60123-1782 | 2020-05-02 |
| 1780203554 | Emma Pauline Petersen | Counselor | 1140 N Mclean Blvd, Elgin, IL 60123-1782 | 2020-04-13 |
| 1174158265 | Ellen Patricia Johnson | Marriage & Family Therapist | 1140 N Mclean Blvd, Elgin, IL 60123-1782 | 2020-03-09 |
| 1437707262 | Laura Ramirez | Counselor | 1140 N Mclean Blvd, Elgin, IL 60123-1782 | 2019-08-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164969796 | Kathleen Antonetti, Md, LLC | Internal Medicine | 305 Bluestem Dr, Elgin, SC 29045-2103 | 2017-01-20 |
| 1871728675 | Imran Husain Kazmi | Internal Medicine | 1600 N Randall Rd Ste 225, Elgin, IL 60123-7805 | 2009-05-22 |
| 1871785923 | Ashima Salwan | Internal Medicine | 2371 Bowes Rd Ste 100, Elgin, IL 60123-5543 | 2007-08-13 |
| 1366634487 | Sharon L Duval | Internal Medicine | 745 Fletcher Dr Ste 101-102, Elgin, IL 60123 | 2007-08-13 |
| 1730236035 | Angel Gomez-galan | Internal Medicine | 1140 N Mclean Blvd, Ste E, Elgin, IL 60123-1782 | 2007-01-05 |
| 1013074442 | Aamir A Memon | Internal Medicine | 1710 N Randall Rd Ste 330, Elgin, IL 60123-9405 | 2007-01-03 |
| 1326101544 | Advanced Clinic, Ltd. | Internal Medicine | 1600 N Randall Road, Suite 135, Elgin, IL 60123-7810 | 2006-12-18 |
| 1700952140 | Devendra U Shah | Internal Medicine | 484 Summit St, Elgin, IL 60120-3829 | 2006-11-28 |
| 1336219682 | Karen C Catching | Internal Medicine | 1600 N Randall Rd, Elgin, IL 60123-7803 | 2006-11-08 |
| 1538250725 | Roseanne Cullen | Internal Medicine | 515 N Highway 95, Elgin, TX 78621-1009 | 2006-09-27 |
| Find all providers in ELGIN | ||||
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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.