All Care Medical Center

Organization Active NPI Internal Medicine Physician · West Dundee, IL

NPI 1295933067 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1295933067
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
ALL CARE MEDICAL CENTER
Practice address
650 Spring Hill Ring Rd Ste 2000
West Dundee, IL 60118-1297
Phone
(847) 428-2273
NPI assigned
Jul 3, 2007
Organization subpart
No

Authorized official

Name
Peter E Smith
Title
Billing Agent
Phone
(815) 965-8505

National Provider Directory

Locations

650 Spring Hill Ring Rd
West Dundee, IL 60118
Phone (773) 272-2317

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207R00000X Yes

Addresses

Primary practice location

650 Spring Hill Ring Rd Ste 2000
West Dundee, IL 60118-1297

Mailing address

650 Spring Hill Ring Rd
West Dundee, IL 60118-1296
Phone (847) 428-2273

Other identifiers

IdentifierTypeStateIssuer
0004515212OtherILBCBS ID

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295933067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 SPRING HILL RING RD",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601181296",
            "telephone_number": "847-428-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 SPRING HILL RING RD STE 2000",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601181297",
            "telephone_number": "847-428-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL CARE MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "815-965-8505"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "0004515212",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Dundee, IL

All providers in West Dundee, IL · Internal Medicine Physician in Illinois

Sources for this page

Verify at the official NPI Registry.