SIGNATURE MEDICAL GROUP, INC (NPI# 1235430851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235430851 |
Entity Type | Organization |
Organization Name | SIGNATURE MEDICAL GROUP, INC |
Other Organization Name | PRIMARY CARE MEDICINE |
Practice Address |
2010 S Arlington Heights Rd Ste 110 Arlington Heights IL 60005-4100 |
Practice Telephone | 8472584978 |
Practice Fax Number | 8777016974 |
Mailing Telephone | 8472584978 |
Mailing Fax Number | 8777016974 |
Enumeration Date | 2010-11-12 |
Last Update Date | 2020-01-28 |
Authorized Official Name | DR. RUMANA J. SIDDIQUI (PRESIDENT) |
Authorized Official Telephone | 8472584978 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 036124650 | 05 |
Other Name | Type Code |
---|---|
PRIMARY CARE MEDICINE | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255513784 | Signature Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 12777 De Paul Drive, Suite 305, Bridgeton, MO 63044 | 2007-11-27 |
1992998256 | Signature Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 20 Progress Point Parkway, Suite 106, O Fallon, MO 63368 | 2007-08-21 |
1609269919 | Signature Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 5301 Veterans Memorial Pkwy, Suite 104, Saint Peters, MO 63376-2298 | 2015-03-11 |
1073904769 | Signature Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 9323 Phoenix Village Pkwy, O Fallon, MO 63368-4281 | 2015-02-17 |
1023435534 | Signature Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 7345 Watson Rd, Suite Ll3, Saint Louis, MO 63119-4405 | 2014-03-21 |
1396907614 | Signature Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 1165 N Butterfield Rd, Bolivar, MO 65613-1056 | 2008-06-27 |
1255477469 | Signature Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 1027 Bellevue Ave, Suite 25, Saint Louis, MO 63117-1851 | 2007-01-29 |
1124164942 | Signature Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 621 S New Ballas Rd, Suite 63b, Saint Louis, MO 63141-8232 | 2007-01-29 |
1649201864 | Signature Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 12639 Old Tesson Rd, Suite 115, Saint Louis, MO 63128-2786 | 2006-07-05 |
1871542761 | Signature Medical Group, Inc | Allergy & Immunology | 12639 Old Tesson Rd, Suite 115, Saint Louis, MO 63128-2786 | 2006-05-08 |
Street Address |
2010 S ARLINGTON HEIGHTS RD STE 110 |
City | ARLINGTON HEIGHTS |
State | IL |
Zip Code | 60005-4100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033673330 | Salario Senior Care, Inc. | In Home Supportive Care | 1020 S. Arlington Heights Road Ste 1 Nw, Arlington Heights, IL 60005 | 2019-01-31 |
1265922355 | Kathy Pawlusiewicz Dds. Dba Prospect Dental | Dentist | 1120 E. Central Rd., Arlington Heights, IL 60005 | 2018-05-14 |
1316437890 | Darcy L Marr | Orthopaedic Surgery | 3030 Salt Creek Lane, Suite 100, Arlington Heights, IL 60005 | 2018-05-10 |
1679076269 | Patrick O'neill | Specialist/Technologist | 1115 W Francis Dr, Arlington Hts, IL 60005 | 2018-03-09 |
1326556861 | Danielle Marie Frye Hughes | Chiropractor | 825 E Golf Rd Ste 1147, Arlington Heights, IL 60005 | 2018-01-18 |
1568977890 | Nicole L Pollard | Counselor | 121 New Wilke Road, Suite 101, Arlington Heights, IL 60005 | 2017-12-08 |
1477062701 | New Family Dental | Dentist | 1768 W Algonqun Rd, Arlington Heights, IL 60005 | 2017-09-29 |
1346775715 | Laura Marie Ipjian | Counselor | 121 S Wilke Rd Ste 232, Arlington Heights, IL 60005 | 2017-04-24 |
1285051615 | Christopher Colby | Student in an Organized Health Care Education/Training Program | 1600 W. Cnetral Rd., Arlington Heights, IL 60005 | 2014-03-24 |
1497181697 | Legacy Medical Care Inc | Clinic/Center | 121 S. Wilke Rd, Suite 600, Arlington Heights, IL 60005 | 2013-09-19 |
Find all providers in zip 60005 |
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 |
---|---|---|---|---|
1497101646 | Tiffany Forte | Family Medicine | 3250 N Arlington Heights Rd Unit 300, Arlington Heights, IL 60004-1500 | 2016-05-06 |
1790080505 | Vohra Wound Physicians of Il, S.c. | Family Medicine | 121 S Wilke Rd Ste 236, Arlington Heights, IL 60005-1525 | 2011-01-26 |
1336450360 | Joseph M Semkiu | Family Medicine | 1004 W Campbell St, Arlington Heights, IL 60005-1606 | 2010-06-24 |
1063651909 | Adele Anna Castaldi | Family Medicine | 825 E. Golf Rd., Arlington Heights, IL 60005 | 2009-02-17 |
1578720991 | Associated Family Physicians | Family Medicine | 1635 N Arlington Heights, Suite 203, Arlington Heights, IL 60004 | 2008-05-22 |
1962686600 | Richard Charles William Steinberg | Family Medicine | 1100 W. Central Road, Suite 305, Arlington Heights, IL 60005-2466 | 2007-12-18 |
1770777377 | Rumana Farheen Siddiqui | Family Medicine | 1675 S Arlington Heights Rd, Arlington Heights, IL 60005-3769 | 2007-08-28 |
1306990080 | Vijay L Goyal | Family Medicine | 1640 N Arlington Heights Rd, Suite 110, Arlington Heights, IL 60004-3985 | 2007-01-22 |
1568524098 | Elena Edwards | Family Medicine | 3295 N Arlington Heights Rd Ste 102, Arlington Heights, IL 60004-1588 | 2006-12-14 |
1821022450 | James Chow | Family Medicine | 2010 S Arlington Heights Road, Suite 101, Arlington Heights, IL 60005 | 2006-07-10 |
Find all providers in ARLINGTON HEIGHTS |
City | ARLINGTON HEIGHTS |
Zip Code | 60005 |
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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.