Medical Associates of Crystal Lake, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MEDICAL ASSOCIATES OF CRYSTAL LAKE, LLC

Practice address

12525 Regency Pkwy Ste F
Huntley, IL 60142

Phone

(847) 659-8283

Fax

(847) 659-8345

NPI assigned

Jun 7, 2014

Organization subpart

No

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

Authorized official

Name

Mohammed I Memon, MD

Title

Preseident

Phone

(847) 659-8283

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hyeju Jang, ANP-BC

  • Adult Health Nurse Practitioner
  • Palos Heights, IL
  • NPI 1659822443
  NPD (past)
• Ubaidur R Papa, M.D.

  • Pediatrics Physician
  • Crystal Lake, IL
  • NPI 1043237696
  NPD (past)
• Marvin John Salzmann, MD

  • Internal Medicine Physician
  • Crystal Lake, IL
  • NPI 1558342923
  NPD (past)

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

{
    "created_epoch": "1402099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1013320068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12525 REGENCY PKWY STE F",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601426500",
            "telephone_number": "847-659-8283",
            "fax_number": "847-659-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12525 REGENCY PKWY STE F",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "60142",
            "telephone_number": "847-659-8283",
            "fax_number": "847-659-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF CRYSTAL LAKE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-07",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "MEMON",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESEIDENT",
        "authorized_official_telephone_number": "847-659-8283",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Frank Mayer
• Megan Poth McArdle, D.O.
• Erin Christine McEnroe
• McHenry County Orthopaedics, S.C.
• Rosemary McKinney, LCSW
• Charles J Meehleib, DPT
• Kelly Lynn Meehleib, B.S.
• Unnati Harshit Mehta
• Metaro Integrated Care, PLLC
• Randall F Meuser, RPH

• Internal Medicine Physician in Huntley, IL
• Providers in Huntley, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.