ELGIN CARE CENTER SC (NPI# 1649359969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649359969 |
| Entity Type | Organization |
| Organization Name | ELGIN CARE CENTER SC |
| Practice Address |
530 N Mclean Blvd Elgin IL 60123-3275 |
| Practice Telephone | 8476954800 |
| Practice Fax Number | 8476954820 |
| Mailing Telephone | 8476954800 |
| Mailing Fax Number | 8476954820 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-12-06 |
| Authorized Official Name | MRS. JOSEPHINE VELOSO FLORENTINO (VICE PRESIDENT & TREASURER) |
| Authorized Official Telephone | 8476954800 |
| Authorized Official Credential | REGISTERED NURSE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
530 N MCLEAN BLVD |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-3275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164823779 | Gomez Medical Group, Inc | Clinic/Center | 530 N Mclean Blvd, Elgin, IL 60123-3275 | 2014-09-15 |
| 1982720314 | Pocholo Santos Florentino | Family Medicine | 530 N Mclean Blvd, Elgin, IL 60123-3275 | 2007-03-21 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467945436 | Taneya Khalid | Family Medicine | 1750 N Randall Rd Ste 110, Elgin, IL 60123-7900 | 2018-06-13 |
| 1326531682 | David Charles Fisher Md LLC | Family Medicine | 566 Spears Creek Church Rd Ste 102b, Elgin, SC 29045-8128 | 2018-06-12 |
| 1992044044 | Christie Arnold Leal | Family Medicine | 7939 Us Hwy 277, Elgin, OK 73538 | 2013-02-10 |
| 1629331871 | Natalie Pagoria | Family Medicine | 1425 N Randall Rd # 2-1200, Elgin, IL 60123-2300 | 2012-06-22 |
| 1881955771 | Raffaella Sappe Betza | Family Medicine | 570 S 8th Ave, Elgin, OR 97827-9726 | 2012-06-06 |
| 1083993430 | Monica J. Fudala | Family Medicine | 820 Summit St # B4, Elgin, IL 60120 | 2011-08-16 |
| 1114156213 | Cheerag Patel | Family Medicine | 370 Summit St., Elgin, IL 60120 | 2009-07-09 |
| 1255484028 | Leo G. Pepa, M.d.,ltd. | Family Medicine | 2425 Rpyal Blvd, Suite 200, Elgin, IL 60123-2507 | 2007-01-18 |
| 1760566293 | Lewis J Litwack | Family Medicine | 7936 Us Hwy 277, Elgin, OK 73538 | 2006-10-24 |
| 1184705477 | Antelope Memorial Hospital | Family Medicine | 101 West Cedar St, Elgin, NE 68636-4490 | 2006-10-17 |
| 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.