GREATER ELGIN FAMILY CARE CENTER (NPI# 1821118654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821118654 |
| Entity Type | Organization |
| Organization Name | GREATER ELGIN FAMILY CARE CENTER |
| Practice Address |
1475 Larkin Ave Elgin IL 60123-5173 |
| Mailing Address |
370 Summit St Elgin IL 60120-3843 |
| Practice Telephone | 8476081344 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROBERT TANNER (CEO) |
| Authorized Official Telephone | 8476081344 |
| 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 |
| 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 |
1475 LARKIN AVE |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-5173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326009804 | Denise Pollworth | Specialist/Technologist | 1475 Larkin Ave, Elgin, IL 60123-5173 | 2006-03-31 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769704 | Greater Elgin Family Care Center | Clinic/Center | 451 N Mclean Blvd, Elgin, IL 60123-3239 | 2020-01-23 |
| 1801346077 | Greater Elgin Family Care Center | Clinic/Center | 655 N Airlite St, Elgin, IL 60123-2683 | 2016-10-11 |
| 1750830162 | Legacy Medical Care Inc | Clinic/Center | 860 Summit St Ste 241, Elgin, IL 60120-4339 | 2016-09-26 |
| 1568868370 | Community Health Centers of South Central Texas Inc. | Clinic/Center | 711 W 10th St., Elgin, TX 78621 | 2014-11-06 |
| 1740533546 | Vna Health Care | Clinic/Center | 801 Villa Street, Elgin, IL 60120 | 2012-10-18 |
| 1760718324 | Greater Elgin Family Care Center | Clinic/Center | 264 Oak St, Elgin, IL 60123-7628 | 2009-11-02 |
| 1760718191 | Greater Elgin Family Care Center | Clinic/Center | 323 Waverly Dr, Elgin, IL 60120-4626 | 2009-10-20 |
| 1104151448 | Greater Elgin Family Care Center | Clinic/Center | 63 S Channing St, Elgin, IL 60120-6633 | 2009-10-05 |
| 1528299443 | Greater Elgin Family Care Center | Clinic/Center | 801 Hastings St, Elgin, IL 60120-8220 | 2009-07-28 |
| 1730209560 | Greater Elgin Family Care Center | Clinic/Center | 420 May St, Elgin, IL 60120-7841 | 2007-03-29 |
| 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.