CHICAGOLAND INTERNAL MEDICINE LLC


Address: 117 S Cook St, Suite 195, Barrington, IL 60010-4311
Phone: 4802292013

CHICAGOLAND INTERNAL MEDICINE LLC (NPI# 1366861304) 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) 1366861304
Entity Type Organization
Organization Name CHICAGOLAND INTERNAL MEDICINE LLC
Practice Address 117 S Cook St
Suite 195
Barrington
IL 60010-4311
Practice Telephone 4802292013
Practice Fax Number 4807187635
Mailing Telephone 4802292013
Mailing Fax Number 4807187635
Enumeration Date 2014-04-07
Last Update Date 2014-04-07
Authorized Official Name SHAUN MIGLORE (OWNER/MANAGER)
Authorized Official Telephone 4802292013
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 117 S COOK ST
SUITE 195
City BARRINGTON
State IL
Zip Code 60010-4311

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508972498 Marvin J Rosser Md Ltd General Practice 117 S Cook St, #114, Barrington, IL 60010-4311 2006-08-22
1033373741 Jeffrey Aa Wieneke Counselor 117 S Cook St, Pmb 327, Barrington, IL 60010-4311 2008-07-11
1366545410 Marvin Joel Rosser Ophthalmology 117 S Cook St, #114, Barrington, IL 60010-4311 2006-09-06

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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Competitor

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City BARRINGTON
Zip Code 60010

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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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