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NORTHWEST SUBURBAN MEDICAL GROUP S.C NPI 1952569394


NPI Information

NPI: 1952569394
Provider Name: NORTHWEST SUBURBAN MEDICAL GROUP S.C
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 14D1091339

Address:
2500 W HIGGINS RD
SUITE 340
HOFFMAN ESTATES, IL
ZIP 60169
Phone: (847) 885-8480
Get Directions

NORTHWEST SUBURBAN MEDICAL GROUP S.C is a family medicine in Hoffman Estates, IL. The provider is 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. NORTHWEST SUBURBAN MEDICAL GROUP S.C NPI is 1952569394. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2500 W HIGGINS RD
SUITE 340
HOFFMAN ESTATES, IL
ZIP 60169-220
Phone: (847) 885-8480
Fax: (847) 885-9201

The provider's authorized official is Afshan Hameeduddin .
The authorized official title is President and has the following contact phone number (847) 885-8480.

The CLIA number assigned to this NPI record is 14D1091339 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2008 and was last updated on 9/30/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine036.100062ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DO2785OTHERRAILROAD MEDICARE
2216929MEDICARE PIN
31639249OTHERILLINOISBCBS
4036-1000062MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.