CHICAGO MEDICAL CLINIC LLC (NPI# 1154640571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154640571 |
| Entity Type | Organization |
| Organization Name | CHICAGO MEDICAL CLINIC LLC |
| Practice Address |
200 S Greenleaf St Suite A Gurnee IL 60031-3398 |
| Practice Telephone | 8475964521 |
| Mailing Telephone | 8475964521 |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2013-06-07 |
| Authorized Official Name | DR. JOHN R KAPOOR (PHYSICIAN) |
| Authorized Official Telephone | 8475964521 |
| Authorized Official Credential | M.D., PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Street Address |
200 S GREENLEAF ST SUITE A |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-3398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538168620 | Uzoma Okoli | Psychiatry & Neurology | 200 S Greenleaf St, Suite J, Gurnee, IL 60031-3398 | 2005-07-20 |
| 1295247559 | Kelly Mularkey | Physician Assistant | 200 S Greenleaf St, Gurnee, IL 60031-3398 | 2017-10-26 |
| 1891005476 | Frank C Sun Md PC | Obstetrics & Gynecology | 200 S Greenleaf St, Suite L, Gurnee, IL 60031-3398 | 2010-10-15 |
| 1356504278 | Lambros Tsonis | Surgery | 200 S Greenleaf St, Suite A, Gurnee, IL 60031-3398 | 2008-07-10 |
| 1902069677 | Eun Sun Paik | Psychiatry & Neurology | 200 S Greenleaf St, Suite A, Gurnee, IL 60031-3398 | 2008-07-03 |
| 1548428071 | Rest Assured Sleep Centers, LLC | Sleep Specialist, PhD | 200 S Greenleaf St, J, Gurnee, IL 60031-3398 | 2008-05-30 |
| 1760502306 | Amera Manzoor Rahman | Psychiatric Hospital | 200 S Greenleaf St, Gurnee, IL 60031-3398 | 2007-03-29 |
| 1366510281 | Albino Tirao Bismonte | Pediatrics | 200 S Greenleaf St, Suite E, Gurnee, IL 60031 | 2006-11-30 |
| 1306937289 | Waukegan Clinic Corp | Internal Medicine | 200 S Greenleaf St, Suite A, Gurnee, IL 60031-3398 | 2006-09-27 |
| 1407966989 | James Walter Macrowski | Dentist | 200 S Greenleaf St, Suite I, Gurnee, IL 60031-3398 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
| Find all providers in zip 60031 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1982718409 | Isaac Dor | Internal Medicine | 1790 Nations Dr Ste 111, Gurnee, IL 60031-9175 | 2006-08-19 |
| 1922096056 | Samarendra Chandel | Internal Medicine | 3915 Oglesby Ave Ste 1, Heart and Vascular Center, Gurnee, IL 60031-3358 | 2005-10-12 |
| 1285628982 | Charles E Jaffe | Internal Medicine | 35 Tower Ct, Ste F, Gurnee, IL 60031-5712 | 2005-09-08 |
| 1346659596 | Lakeshore Heart & Vascular Specialists | Internal Medicine | 3915 Oglesby Ave, Gurnee, IL 60031 | 2014-08-12 |
| 1093074155 | Comprehensive Cardiovascular Care, LLC | Internal Medicine | 1790 Nations Dr Ste 111, Gurnee, IL 60031-9175 | 2012-05-10 |
| 1457584450 | North Lake Cardiovascular Center PC | Internal Medicine | 310 S Greenleaf St, Suite 212, Gurnee, IL 60031-5708 | 2009-08-25 |
| 1386818557 | Dor Heart & Vascular, PC | Internal Medicine | 20 Tower Ct, Suite F, Gurnee, IL 60031-5711 | 2008-04-17 |
| 1740210533 | Timothy J Mcdonough | Internal Medicine | 3915 Oglesby Ave, Suite 1, Gurnee, IL 60031-3358 | 2006-07-04 |
| 1629063391 | Lake Heart Specialists | Internal Medicine | 35 Tower Ct, Suite F, Gurnee, IL 60031-5712 | 2005-09-19 |
| 1962497974 | Robert J Koch | Internal Medicine | 35 Tower Ct, Ste F, Gurnee, IL 60031-5712 | 2005-09-15 |
| Find all providers in GURNEE | ||||
Please comment or provide details below to improve the information on CHICAGO MEDICAL CLINIC LLC.
| 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.