A & D Medical Center SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

A & D MEDICAL CENTER SC

Practice address

64 N Alfred Ave
Suite B
Elgin, IL 60123-5284

Phone

(847) 742-0165

Fax

(847) 742-0190

NPI assigned

Oct 13, 2006

Last updated

Apr 15, 2008By 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

Jawed Ehsan, M DNPI 1114901501

Title

Owner

Phone

(847) 742-0165

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Practitioners 5

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.

• Jawed Ehsan, MD

  • Internal Medicine Physician
  • Elgin, IL
  • NPI 1114901501
  Authorized official Same address or phone
• Mohy M Osman, P.T

  • Physical Therapist
  • Hazel Crest, IL
  • NPI 1619060985
  NPD (past)
• Victoriano L Perez, MD

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1477687960
  NPD (past)
• Tapas Dasgupta, MD

  • Physical Medicine & Rehabilitation Physician
  • Highland, IN
  • NPI 1386687556
  NPD (past)
• Prachi Gandhi, DO

  • Family Medicine Physician
  • Orange City, FL
  • NPI 1619081023
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1316037120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 N ALFRED AVE",
            "address_2": "SUITE B",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235284",
            "telephone_number": "847-742-0165",
            "fax_number": "847-742-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 N ALFRED AVE",
            "address_2": "SUITE B",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235284",
            "telephone_number": "847-742-0165",
            "fax_number": "847-742-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A & D MEDICAL CENTER SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "EHSAN",
        "authorized_official_first_name": "JAWED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-742-0165",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "209598",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "04532181",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00090413",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• - (AdaPT Therapy Associates)
• Karen Lynn (Mundt) Romano, DEVELOPMENTAL THERAP
• 1St Family Dental of Elgin
• A-Tec Ambulance Service Inc (ATEC Ambulance)
• A-Tec Ambulance Service Inc
• A-Z Therapy & Wellness PLLC
• A.L.L Life Counseling LLC
• Aarna 425 LLC

• 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 Apr 15, 2008; 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.