Organization Active NPI

Northwest Primary Healthcare, S.C.

  • Internal Medicine Physician
  • Barrington, IL
National Provider Identifier
1104984848
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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

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. Katherine Nancy Kamholz, MD
Title
President, Owner
Phone
(847) 756-7360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
03695547MedicaidIL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.