Individual provider Active NPI

Claudia Tiwet, MD

  • Internal Medicine Physician
  • Gurnee, IL
National Provider Identifier
1114094646
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-105276 Issued in IL
Practice address
731 S Il Route 21 Ste 130
Gurnee, IL 60031
Phone
(847) 566-3337
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-105276 IL Primary

Addresses

Primary practice location

731 S Il Route 21 Ste 130
Gurnee, IL 60031

Mailing address

731 S Il Route 21 Ste 130
Gurnee, IL 60031-3803
Phone (847) 566-3337

Other practice location 1

150 N River Rd
Suite 100
Des Plaines, IL 60016-1272
Phone (847) 298-0310

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ctiwet269232@direct.northshore.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050609001022 IL Practitioner - Internal Medicine 6002859055 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-105276ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Dec 16, 2013 Accepting new patients
Endeavor Health Medical Group CurrentSince Mar 20, 2018 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Dec 16, 2013 Accepting new patients
Endeavor Health Medical Group Internal Medicine CurrentSince Mar 20, 2018 Accepting new patients

Locations

595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

135 N Arlington Heights Rd
Buffalo Grove, IL 60089
Phone (847) 215-8866

29373 Network Pl
Chicago, IL 60673

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

731 S State Route 21
Ste 130
Gurnee, IL 60031
Phone (847) 566-3337

Interoperability endpoints

  • Direct secure messaging: ctiwet269232@direct.northshore.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1114094646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 S IL ROUTE 21 STE 130",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313803",
            "telephone_number": "847-566-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 S IL ROUTE 21 STE 130",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "60031",
            "telephone_number": "847-566-3337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 N River Rd",
            "address_2": "SUITE 100",
            "address_purpose": "LOCATION",
            "city": "Des Plaines",
            "state": "IL",
            "postal_code": "600161272",
            "country_code": "US",
            "telephone_number": "847-298-0310",
            "fax_number": "847-298-5939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIWET",
        "first_name": "CLAUDIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-105276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ctiwet269232@direct.northshore.org",
            "affiliation": "N",
            "address_1": "731 S Il Route 21 Ste 130",
            "city": "Gurnee",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.