Northwest Family Clinic Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036-056559 Issued in IL

Legal business name

NORTHWEST FAMILY CLINIC INC.

Practice address

770 E Northwest Hwy
Mount Prospect, IL 60056-3464

Phone

(847) 454-1001

Fax

(847) 454-1002

NPI assigned

Mar 19, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Virendra M Patel, M.D.

Title

President

Phone

(847) 454-1001

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• NORTHWEST FAMILY CLINIC INC. Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218153600000",
    "number": "1003931387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 E NORTHWEST HWY",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563464",
            "telephone_number": "847-454-1001",
            "fax_number": "847-454-1002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 E NORTHWEST HWY",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563464",
            "telephone_number": "847-454-1001",
            "fax_number": "847-454-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST FAMILY CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2008-08-08",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIRENDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-454-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-056559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF IL",
            "identifier": "01628154",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036056559",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHWEST FAMILY CLINIC INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey P Norris, M.D
• Northshore Imaging Services Inc
• Northshore Ultrasound Services Inc
• Northwest Community Health Services Inc
• Northwest Dental Associates, LLC
• Northwestern Suburban Special Education Organization
• Georgeshia Norwood
• Amy Noto
• Nova Med Care LTD
• Nova Med Womens Care PLLC

• Family Medicine Physician in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.