Elgin Primary Care

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ELGIN PRIMARY CARE

Practice address

1276 W Spring St
South Elgin, IL 60177-3304

Phone

(847) 468-1206

NPI assigned

Apr 16, 2007

Organization subpart

No

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

Authorized official

Name

Tracy A Rady

Title

Billing

Phone

(847) 429-0571

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Shona Ahuja, M.D.

  • Internal Medicine Physician
  • Belton, TX
  • NPI 1316945538
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104041136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1276 W SPRING ST",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601773304",
            "telephone_number": "847-468-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1276 W SPRING ST",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601773304",
            "telephone_number": "847-468-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELGIN PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RADY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "847-429-0571"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04528167",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Kay Dillenburg, PT, DPT
• Quang H Dinh, PHARM. D
• Stephen Herre Echsner Jr., MD
• Mariam Elghorr, RPH
• Elgin Nephrology Associates., S.C.
• Karen Erickson
• Julie Errico, PHARMD
• Kate S Evans, LCPC
• Evergreen Medical Group SC
• Excel Ambulance Service Inc

• Internal Medicine Physician in South Elgin, IL
• Providers in South Elgin, 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 22, 2020; 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.