Organization Active NPI

Insight Therapeutics, Inc.

  • Multi-Specialty Clinic/Center
  • Winfield, IL
National Provider Identifier
1124578752
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
INSIGHT THERAPEUTICS, INC.
Practice address
27W140 Roosevelt Rd
Suite 205
Winfield, IL 60190-1642
Phone
(847) 800-9347
Fax
(847) 628-0791
NPI assigned
Oct 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Authorized official

Name
Tracy Muklewicz, MS ED, NCC, LCPCNPI 1205091931
Title
Clinical Director
Phone
(847) 800-9347

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

27W140 Roosevelt Rd
Suite 205
Winfield, IL 60190-1642

Mailing address

27W140 Roosevelt Rd
Suite 205
Winfield, IL 60190-1642
Phone (847) 800-9347

Other identifiers 1

IdentifierTypeStateIssuer
1205091920OtherILINDIVIDUAL NPI NUMBER

National Provider Directory

National Provider Directory

Locations

27W140 Roosevelt Rd
Ste 205
Winfield, IL 60190
Phone (847) 752-9969

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1124578752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27W140 ROOSEVELT RD",
            "address_2": "SUITE 205",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901642",
            "telephone_number": "847-800-9347",
            "fax_number": "847-628-0791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27W140 ROOSEVELT RD",
            "address_2": "SUITE 205",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901642",
            "telephone_number": "847-800-9347",
            "fax_number": "847-628-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT THERAPEUTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "MUKLEWICZ",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "847-800-9347",
        "authorized_official_credential": "MS ED, NCC, LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1205091920",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.