Active NPI
Jeffrey Louis Garb, M.D.
- Internal Medicine Physician
- Elgin, IL
National Provider Identifier
1023063237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036-059113
- Practice address
- 1710 N. Randall Rd.
Suite 250
Elgin, IL 60123 - Phone
- (847) 888-1914
- Fax
- (847) 888-1925
- NPI assigned
- May 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-059113 | IL | Primary |
Addresses
Primary practice location
1710 N. Randall Rd.
Suite 250
Elgin, IL 60123
Mailing address
1710 N. Randall Rd.
Suite 250
Elgin, IL 60123
Phone (847) 888-1914
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036059113 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-059113 | IL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335484800000",
"number": "1023063237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 N. RANDALL RD.",
"address_2": "SUITE 250",
"city": "ELGIN",
"state": "IL",
"postal_code": "60123",
"telephone_number": "847-888-1914",
"fax_number": "847-888-1925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 N. RANDALL RD.",
"address_2": "SUITE 250",
"city": "ELGIN",
"state": "IL",
"postal_code": "60123",
"telephone_number": "847-888-1914",
"fax_number": "847-888-1925"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARB",
"first_name": "JEFFREY",
"middle_name": "LOUIS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-24",
"last_updated": "2012-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-059113",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036059113",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.