Metro Family Practice SC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

036-085227 Issued in IL

Legal business name

METRO FAMILY PRACTICE SC

Practice address

250 W Kensington Rd Ste 1a
Mount Prospect, IL 60056-1291

Phone

(847) 305-8600

NPI assigned

Jun 20, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joel L Kragt, MDNPI 1891777850

Title

President

Phone

(847) 305-8600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joel L Kragt, M.D

  • Family Medicine Physician
  • Mount Prospect, IL
  • NPI 1891777850
  Medicare reassignment Care Compare group NPD Authorized official
• Kristy Lee McDonald, NP

  • Family Nurse Practitioner
  • Mount Prospect, IL
  • NPI 1861034365
  Medicare reassignment Care Compare group NPD
• Lauren Marie Orf, RN, FNP-C

  • Family Nurse Practitioner
  • Mundelein, IL
  • NPI 1457762841
  Medicare reassignment Care Compare group NPD
• Brooke R Lobianco, APN

  • Nurse Practitioner
  • Park Ridge, IL
  • NPI 1417469438
  Medicare reassignment NPD
• Alissa B Noeska, APRN

  • Family Medicine Physician
  • Elgin, IL
  • NPI 1710604822
  Medicare reassignment NPD
• Aldiana Zahirovic, PA-C

  • Physician Assistant
  • Wheaton, IL
  • NPI 1386411429
  Medicare reassignment

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1184144370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W KENSINGTON RD STE 1A",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561291",
            "telephone_number": "847-305-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W KENSINGTON RD STE 1A",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561291",
            "telephone_number": "847-305-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO FAMILY PRACTICE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KRAGT",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-305-8600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "036-085227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mednex LLC
• Dian Medrano, LCPC
• Meenal Goel DDS., PC
• Devin Dhiren Mehta, M.D., M.A.
• Ruth Mellenthin, LCSW
• Metrodocs, S.C.
• Meyer Dental Group PC
• Eleanor Meyer
• Thomas L Meyer, D.D.S.
• Tressa Meyer

• Primary Care Clinic/Center in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.