The Elgin Clinic LTD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

THE ELGIN CLINIC LTD

Practice address

1530 N Randall Rd
Suite 200
Elgin, IL 60123-7877

Phone

(847) 697-6464

Fax

(847) 697-6478

NPI assigned

Oct 17, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Zahida Y Malik

Title

Office Manager

Phone

(847) 697-7598

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1053300699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 N RANDALL RD",
            "address_2": "SUITE 200",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237877",
            "telephone_number": "847-697-6464",
            "fax_number": "847-697-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N RANDALL RD",
            "address_2": "SUITE 200",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237877",
            "telephone_number": "847-697-6464",
            "fax_number": "847-697-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ELGIN CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "ZAHIDA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-697-7598",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Terrazas, MSW
• Anita Joyce Tessema
• Kinjal Thakkar, BS, MHP
• Michael Thayyil
• The Center for Exceptional Care (Little Angels Pat Wasmond Home)
• The Larkin Center
• The Larkin Center
• The Larkin Center
• The Larkin Center
• The Larkin Center

• Nephrology Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• Nephrology Physician in Illinois

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