Organization Active NPI

Associated Family Physicians, SC

  • Family Medicine Physician
  • Arlington Heights, IL
National Provider Identifier
1154636959
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036094195 Issued in IL
Legal business name
ASSOCIATED FAMILY PHYSICIANS, SC
Practice address
1635 N Arlington Heights Rd
203
Arlington Heights, IL 60004-3944
Phone
(847) 392-1500
Fax
(847) 392-9706
NPI assigned
Aug 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Authorized official

Name
Dr. Ramon Angel Gonzalez, MD
Title
President
Phone
(847) 392-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036094195 IL Primary

Addresses

Primary practice location

1635 N Arlington Heights Rd
203
Arlington Heights, IL 60004-3944

Mailing address

1635 N Arlington Heights Rd
203
Arlington Heights, IL 60004-3944
Phone (847) 392-1500

National Provider Directory

National Provider Directory
Tax ID family
Associated Family Physicians2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1635 N Arlington Heights Rd
Ste 203
Arlington Heights, IL 60004
Phone (847) 392-1500

NPI Registry JSON

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1154636959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 N ARLINGTON HEIGHTS RD",
            "address_2": "203",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043944",
            "telephone_number": "847-392-1500",
            "fax_number": "847-392-9706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 N ARLINGTON HEIGHTS RD",
            "address_2": "203",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600043944",
            "telephone_number": "847-392-1500",
            "fax_number": "847-392-9706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED FAMILY PHYSICIANS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "RAMON",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-392-1500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036094195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.