Active NPI
Michael K Raymond
- Internal Medicine Physician
- Skokie, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036067244
- Practice address
- 9650 Gross Point Rd
1900
Skokie, IL 60076-1234 - Phone
- (847) 676-1112
- Fax
- (847) 674-3358
- NPI assigned
- May 31, 2006
- Last updated
- Feb 25, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036067244 | IL | Primary |
Addresses
Primary practice location
9650 Gross Point Rd
1900
Skokie, IL 60076-1234
Mailing address
9650 Gross Point Rd
1900
Skokie, IL 60076-1234
Phone (847) 676-1112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036067244 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rush University Medical Group | Internal Medicine | Current | Accepting new patients |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Endeavor Health Medical Group | Internal Medicine | Current | Accepting new patients |
| Arthritis & Internal Medicine Specialist | Past | Accepting new patients |
Locations
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
75 Remittance Dr
Dept 1611
Chicago, IL 60675
9532 Eagle Way
Chicago, IL 60678
49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
9650 Gross Point Rd
Ste 1900
Skokie, IL 60076
Phone (224) 251-2020
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NorthShore Anesthesia Group
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
dba NorthShore University HealthSystem Faculty Practice Associates
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Internal Medicine
-
dba Rush University Internists
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
-
- Preferred Provider Organization
- Skokie, IL
- NPI 1194808667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361750400000",
"number": "1265479422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9650 GROSS POINT RD",
"address_2": "1900",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761234",
"telephone_number": "847-676-1112",
"fax_number": "847-674-3358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9650 GROSS POINT RD",
"address_2": "1900",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600761234",
"telephone_number": "847-676-1112",
"fax_number": "847-674-3358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYMOND",
"first_name": "MICHAEL",
"middle_name": "K",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2013-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036067244",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036067244",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.