Heritage Primary Care, S.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036092129 Issued in IL

Legal business name

HERITAGE PRIMARY CARE, S.C.

Practice address

1600 N Randall Rd
Suite 155
Elgin, IL 60123-7803

Phone

(847) 488-9589

Fax

(847) 931-5173

NPI assigned

Oct 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Archana Goel, M.D.

Title

President

Phone

(847) 488-9589

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Akhileswari C Yeshwant, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Algonquin, IL
  • NPI 1457362543
  NPD (past)

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1295923191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 N RANDALL RD",
            "address_2": "SUITE 155",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237803",
            "telephone_number": "847-488-9589",
            "fax_number": "847-931-5173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N RANDALL RD",
            "address_2": "SUITE 155",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237803",
            "telephone_number": "847-488-9589",
            "fax_number": "847-931-5173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE PRIMARY CARE, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "GOEL",
        "authorized_official_first_name": "ARCHANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-488-9589",
        "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": "036092129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0004522347",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036092129",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylor Rose Herbord
• Arnold J Herbstman, M.D.
• Monica Rose Herdrich, FNP-C
• Heritage Manor - Elgin, LLC
• Heritage Manor Elgin, LLC
• Kayla Herman
• Vanessa Hermosillo, LPC
• Antonio E Hernandez-Silva, PMHNP
• Abbie Lauren Hernandez
• Alexandria Suzette Hernandez, NP

• Internal Medicine Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; 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.