Schaumburg Primary Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SCHAUMBURG PRIMARY MEDICAL CENTER

Practice address

2200 S Main St
Suite 105
Lombard, IL 60148-5334

Phone

(773) 744-7864

NPI assigned

Nov 7, 2013

Organization subpart

No

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

Authorized official

Name

Melissa Gavina

Title

Credential MGR

Phone

(847) 891-6850

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1063841393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 S MAIN ST",
            "address_2": "SUITE 105",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485334",
            "telephone_number": "773-744-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S MAIN ST",
            "address_2": "SUITE 105",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485334",
            "telephone_number": "773-744-7864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHAUMBURG PRIMARY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "GAVINA",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CREDENTIAL MGR",
        "authorized_official_telephone_number": "847-891-6850"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Elizabeth Sas, APN-CNP
• Ashley Savegnago
• Kennedy Sawyer
• Jennifer Scarpace, BA
• Randy Anthony Scarpiniti, D.D.S.
• Diana Scheck, FNP-BC
• Audrey Scherer
• Jennifer Lynn Schermerhorn
• Lynn Marie Scheuer, M.A. CCC-SLP
• Laurie Schick

• Family Medicine Physician in Lombard, IL
• Providers in Lombard, 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 Nov 7, 2013; 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.