Active NPI
Northwest Primary Healthcare, S.C.
- Internal Medicine Physician
- Barrington, IL
National Provider Identifier
1104984848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- NORTHWEST PRIMARY HEALTHCARE, S.C.
- Practice address
- 509 W Old Northwest Hwy
Suite 100C
Barrington, IL 60010-6811 - Phone
- (847) 756-7360
- Fax
- (847) 277-7191
- NPI assigned
- Dec 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Katherine Nancy Kamholz, MD
- Title
- President, Owner
- Phone
- (847) 756-7360
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | IL | Primary |
Addresses
Primary practice location
509 W Old Northwest Hwy
Suite 100C
Barrington, IL 60010-6811
Mailing address
509 W Old Northwest Hwy
Suite 100C
Barrington, IL 60010-6811
Phone (847) 756-7360
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03695547 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
509 W Old Northwest Hwy
Ste 100C
Barrington, IL 60010
Phone (224) 655-2044
912 Northwest Hwy
Ste 5A
Fox River Grove, IL 60021
Phone (847) 756-7360
912 Northwest Hwy
Ste G5A
Fox River Grove, IL 60021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1104984848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 W OLD NORTHWEST HWY",
"address_2": "SUITE 100C",
"city": "BARRINGTON",
"state": "IL",
"postal_code": "600106811",
"telephone_number": "847-756-7360",
"fax_number": "847-277-7191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 W OLD NORTHWEST HWY",
"address_2": "SUITE 100C",
"city": "BARRINGTON",
"state": "IL",
"postal_code": "600106811",
"telephone_number": "847-756-7360",
"fax_number": "847-277-7191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST PRIMARY HEALTHCARE, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KAMHOLZ",
"authorized_official_first_name": "KATHERINE",
"authorized_official_middle_name": "NANCY",
"authorized_official_title_or_position": "PRESIDENT, OWNER",
"authorized_official_telephone_number": "847-756-7360",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03695547",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Barrington, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.