George Hvostik, MD, S.C.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

036071912 Issued in IL

Legal business name

GEORGE HVOSTIK, MD, S.C.

Practice address

1860 W Winchester Rd Ste 107B
Libertyville, IL 60048-5312

Phone

(847) 996-0836

Fax

(847) 996-6278

NPI assigned

Sep 11, 2009

Last updated

Jan 24, 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

Dr. George Hvostik, MDNPI 1023015021

Title

Ceo

Phone

(847) 996-0836

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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.

• George R Hvostik, MD

  • Nephrology Physician
  • Libertyville, IL
  • NPI 1023015021
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1252627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1255664066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 W WINCHESTER RD STE 107B",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485312",
            "telephone_number": "847-996-0836",
            "fax_number": "847-996-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 W WINCHESTER RD STE 107B",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485312",
            "telephone_number": "847-996-0836",
            "fax_number": "847-996-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE HVOSTIK, MD, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-11",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "HVOSTIK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-996-0836",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036071912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Jonathon Geiser, MD
• Julia Gekhter, LCSW
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• Gentle Care Health Management LLC
• George B. Elvove, M.D., PC
• Gerald
• Glen Dwayne Gerdes, MS, ATC
• Chelsey Germain
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• Nephrology Physician in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.