Organization Active NPI

Center for Family and Geriatric Medicine, S.C.

  • Primary Care Clinic/Center
  • Arlington Heights, IL
National Provider Identifier
1033224613
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CENTER FOR FAMILY AND GERIATRIC MEDICINE, S.C.
Practice address
2010 S Arlington Heights Rd
Suite #225
Arlington Heights, IL 60005-4134
Phone
(847) 439-2200
Fax
(847) 439-8687
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Eugene Lim, M.D.NPI 1730294307
Title
President
Phone
(847) 439-2200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2010 S Arlington Heights Rd
Suite #225
Arlington Heights, IL 60005-4134

Mailing address

2 Pauline Cir
Schaumburg, IL 60173-6557
Phone (847) 413-0208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070219000180 IL Part B Supplier - Clinic/Group Practice 1355443540 Receives reassigned benefits from 1 practitioner
Practice locations: Arlington Heights, IL

National Provider Directory

National Provider Directory

Locations

1700 W Central Rd
Ste 220
Arlington Hts, IL 60005
Phone (847) 439-2200

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033224613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PAULINE CIR",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601736557",
            "telephone_number": "847-413-0208",
            "fax_number": "847-413-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 S ARLINGTON HEIGHTS RD",
            "address_2": "SUITE #225",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600054134",
            "telephone_number": "847-439-2200",
            "fax_number": "847-439-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR FAMILY AND GERIATRIC MEDICINE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-439-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.