NPIMap

Organization Active NPI

TT Medical Group LLC

  • Family Medicine Physician
  • Crystal Lake, IL
National Provider Identifier
1215528922
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TT MEDICAL GROUP LLC
Practice address
741 S McHenry Ave Ste C&D
Crystal Lake, IL 60014-7445
Phone
(815) 770-2780
Fax
(815) 770-2780
NPI assigned
Jan 27, 2021
Last updated
Aug 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Authorized official

Name
Ruchir Thakkar, DONPI 1174812853
Title
Partner
Phone
(847) 322-7149

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

741 S McHenry Ave Ste C&D
Crystal Lake, IL 60014-7445

Mailing address

741 S McHenry Ave Ste C&D
Crystal Lake, IL 60014-7445
Phone (815) 770-2780

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL athenanet.athenahealth.com

National Provider Directory

National Provider Directory

Locations

5741 W Cermak Rd
Cicero, IL 60804
Phone (708) 222-0100

1029 N Roselle Rd
Hoffman Estates, IL 60169

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1215528922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 S MCHENRY AVE STE C&D",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147445",
            "telephone_number": "815-770-2780",
            "fax_number": "815-770-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 S MCHENRY AVE STE C&D",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147445",
            "telephone_number": "815-770-2780",
            "fax_number": "815-770-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TT MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "THAKKAR",
        "authorized_official_first_name": "RUCHIR",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "847-322-7149",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "athenanet.athenahealth.com",
            "affiliation": "N",
            "address_1": "741 S McHenry Ave Ste C&d",
            "city": "Crystal Lake",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600147445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.