Organization Active NPI

Associated Physician Medical Center

  • Internal Medicine Physician
  • Elgin, IL
National Provider Identifier
1235310053
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
336031070 Issued in IL
Legal business name
ASSOCIATED PHYSICIAN MEDICAL CENTER
Practice address
1140 N McLean Blvd
Suite E
Elgin, IL 60123-1782
Phone
(847) 931-1400
Fax
(847) 931-2072
NPI assigned
Nov 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Authorized official

Name
Dr. Angel Gomez, M.D.
Title
President
Phone
(847) 931-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 336031070 IL Primary

Addresses

Primary practice location

1140 N McLean Blvd
Suite E
Elgin, IL 60123-1782

Mailing address

1140 N McLean Blvd
Suite E
Elgin, IL 60123-1782
Phone (847) 931-1400

Other identifiers 1

IdentifierTypeStateIssuer
0360668701MedicaidIL

National Provider Directory

National Provider Directory

Locations

373 Summit St
Ste 101
Elgin, IL 60120
Phone (847) 931-1400

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1235310053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 N MCLEAN BLVD",
            "address_2": "SUITE E",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601231782",
            "telephone_number": "847-931-1400",
            "fax_number": "847-931-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 N MCLEAN BLVD",
            "address_2": "SUITE E",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601231782",
            "telephone_number": "847-931-1400",
            "fax_number": "847-931-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED PHYSICIAN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-931-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "336031070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360668701",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.