Organization Active NPI

Allz Family Practice Physicians, SC

  • Family Medicine Physician
  • Algonquin, IL
National Provider Identifier
1316219736
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042619902 Issued in IL
Legal business name
ALLZ FAMILY PRACTICE PHYSICIANS, SC
Practice address
1345 Ryan Pkwy
Algonquin, IL 60102-4530
Phone
(847) 658-9555
Fax
(847) 658-2167
NPI assigned
Jan 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Authorized official

Name
Dr. John Kolb, MD
Title
Medical Director
Phone
(847) 438-2144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 042619902 IL Primary

Addresses

Primary practice location

1345 Ryan Pkwy
Algonquin, IL 60102-4530

Mailing address

350 Surryse Rd
Suite 100
Lake Zurich, IL 60047-3217
Phone (847) 438-2144

National Provider Directory

National Provider Directory
Tax ID family
Allz Family Practice Physicians SC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1316219736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SURRYSE RD",
            "address_2": "SUITE 100",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473217",
            "telephone_number": "847-438-2144",
            "fax_number": "847-719-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 RYAN PKWY",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601024530",
            "telephone_number": "847-658-9555",
            "fax_number": "847-658-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLZ FAMILY PRACTICE PHYSICIANS, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-31",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "KOLB",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "847-438-2144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "042619902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.