GREATER ELGIN FAMILY CARE CENTER (NPI# 1861885949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861885949 |
| Entity Type | Organization |
| Organization Name | GREATER ELGIN FAMILY CARE CENTER |
| Practice Address |
1515 E Lake St Hanover Park IL 60133-4869 |
| Mailing Address |
370 Summit St Elgin IL 60120-3843 |
| Practice Telephone | 6303135300 |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |
| Authorized Official Name | JASON CAREY (CFO) |
| Authorized Official Telephone | 8476086053 |
| Is Organization Subpart | Y |
| Parent Organization Name | GREATER ELGIN FAMILY CARE CENTER |
| 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 |
1515 E LAKE ST |
| City | HANOVER PARK |
| State | IL |
| Zip Code | 60133-4869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760421697 | Alexian Brothers Medical Center | Home Health | 1515 E Lake St, Suite 210, Hanover Park, IL 60133-4896 | 2006-06-06 |
| 1720597891 | Katelyn Mirabito | Physician Assistant | 1515 E Lake St, Hanover Park, IL 60133-4869 | 2017-09-21 |
| 1730548033 | Claire Brown | Social Worker | 1515 E Lake St, Hanover Park, IL 60133-4869 | 2016-02-15 |
| 1447555180 | Teresa Joerger Davis | Speech-Language Pathologist | 1515 E Lake St, Hanover Park, IL 60133-4869 | 2011-01-11 |
| 1063728897 | Salman Khaleeluddin | Family Medicine | 1515 E Lake St, Hanover Park, IL 60133-4869 | 2010-08-31 |
| 1447562905 | Priya Dileep | Internal Medicine | 1515 E Lake St, Hanover Park, IL 60133-4869 | 2010-07-12 |
| 1720314115 | Alexian Brothers Medical Center | Hospice Care, Community Based | 1515 E Lake St, Suite 206, Hanover Park, IL 60133-4869 | 2009-10-20 |
| 1215166319 | Michael Brunner | Family Medicine | 1515 E Lake St, Attn: Abmg Primary Care, Hanover Park, IL 60133-4869 | 2009-07-09 |
| 1033361647 | Ls Medical Group,l.l.c. | Internal Medicine | 1515 E Lake St, Suite 208, Hanover Park, IL 60133-4896 | 2008-10-14 |
| 1275740961 | Alexian Brothers Home Infusion | Home Infusion | 1515 E Lake St, Suite 210, Hanover Park, IL 60133-4896 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215302922 | Mangal Dhami | Pharmacist | 1877 Grosse Pointe Circle, Hanove Park, IL 60133 | 2015-12-07 |
| 1649588260 | Church Street Station Skilled Nursing and Living Center, LLC | Skilled Nursing Facility | 2000 W. Lake St., Hanover Park, IL 60133 | 2010-09-16 |
| 1578603395 | Shyam V N Rao | Dentist | 1601 Tanglewood Avenue, Hanover Park, IL 60133 | 2007-02-08 |
| 1851458939 | Robert Jan Bazan | Dentist | 2260 W Irving Pk Rd, Hanover Pk, IL 60133 | 2007-01-02 |
| 1215018635 | Alexian Brothers Corporate Health Services | Clinic/Center | 1515 W Lake Street, Ste 100, Hanover Park, IL 60133 | 2006-10-19 |
| 1225120462 | Hanover Park Physical Medicine & Rehabilitation Ltd | Chiropractor | 1802 Irving Park Road, Hanover Park, IL 60133 | 2006-09-28 |
| 1447350830 | Ismail E Atcha | Internal Medicine | 5420 Cloverdale Road, Hanover Park, ILLINOIS 60133 | 2006-09-25 |
| 1013013374 | Antonio B Cruz | General Practice | 1601 Tanglewood, Suite 106, Hanover Park, IL 60133 | 2006-09-15 |
| 1326143223 | Matthew J Faith | Dentist | 1645 Irving Park Road, Hanover Park, IL 60133 | 2006-09-14 |
| 1992818827 | Ketan Narandas Jobanputra | Obstetrics & Gynecology | 1515 West Lake Street, #208, Alexian Brothers' Hospital Pavilion, Hanover Park, IL 60133 | 2006-08-16 |
| Find all providers in zip 60133 | ||||
| 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 |
|---|---|---|---|---|
| 1063963031 | Greater Elgin Family Care Center | Clinic/Center | 1701 Greenbrook Blvd, Hanover Park, IL 60133-5338 | 2016-10-14 |
| 1659602837 | Greater Elgin Family Care Center | Clinic/Center | 1750 Laurel Ave, Hanover Park, IL 60133-3316 | 2010-01-27 |
| 1679809099 | Greater Elgin Family Care Center | Clinic/Center | 2150 Laurel Ave, Hanover Park, IL 60133-3251 | 2009-10-20 |
| 1295060531 | Greater Elgin Family Care Center | Clinic/Center | 2100 Elm Ave, Hanover Park, IL 60133-3808 | 2009-10-05 |
| 1558810960 | Legacy Medical Care Inc | Clinic/Center | 6620 Barrington Rd, Hanover Park, IL 60133-3935 | 2016-09-26 |
| 1407014046 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 1515 Lake St, Hanover Park, IL 60133-4896 | 2008-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417567108 | Pillars Community Health | Clinic/Center | 15w458 91st St, Burr Ridge, IL 60527-6379 | 2020-08-06 |
| 1932724390 | Friend Family Health Center, Inc | Clinic/Center | 7355 S Jeffery Blvd, Chicago, IL 60649-3121 | 2020-06-11 |
| 1871117937 | Primecare Community Health Inc | Clinic/Center | 1431 N Western Ave Ste 101, Chicago, IL 60622-7712 | 2020-06-04 |
| 1639791569 | Community Health Partnership of Illinois | Clinic/Center | 201 W Kenyon Rd Bldg D, Champaign, IL 61820-7892 | 2020-05-14 |
| 1407482219 | Access Community Health Network | Clinic/Center | 6020 W Diversey Ave Bldg West, Chicago, IL 60639-1108 | 2020-03-13 |
| 1235769704 | Greater Elgin Family Care Center | Clinic/Center | 451 N Mclean Blvd, Elgin, IL 60123-3239 | 2020-01-23 |
| 1710517537 | Greater Elgin Family Care Center Integrated Health Home | Clinic/Center | 1100 Shirley Ave, Streamwood, IL 60107-3068 | 2020-01-21 |
| 1215578109 | Board of Trustees of Southern Illinois University | Clinic/Center | 205 S 24th St Ste 100, Quincy, IL 62301-4446 | 2019-10-02 |
| 1437708674 | Board of Trustees of Southern Illinois University | Clinic/Center | 300 W Oak Street, Carbondale, IL 62901 | 2019-09-10 |
| 1427600345 | The Board of Trustees of The University of Illinois | Clinic/Center | 6835 S Normal Blvd, Chicago, IL 60621-2535 | 2019-07-11 |
| Find all providers with the same taxonomy | ||||
| City | HANOVER PARK |
| Zip Code | 60133 |
Please comment or provide details below to improve the information on GREATER ELGIN FAMILY CARE CENTER.
| 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.