Organization Active NPI

Tim Heilizer SC Corp

  • Colon & Rectal Surgery Physician
  • Chicago, IL
National Provider Identifier
1316278088
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
Legal business name
TIM HEILIZER SC CORP
Practice address
2338 W North Ave
Chicago, IL 60647-6541
Phone
(773) 227-5914
NPI assigned
Jan 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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

Authorized official

Name
James Noble
Title
Revenue Manager
Phone
(630) 424-1122

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Colon & Rectal Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208C00000X Primary

Addresses

Primary practice location

2338 W North Ave
Chicago, IL 60647-6541

Mailing address

1S376 Summit Ave Ste 4C
Oakbrook Terrace, IL 60181-3966
Phone (630) 424-1122

Other names 1

  • Remegio M Vilbar MD SC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100503000686 IL Part B Supplier - Clinic/Group Practice 8123156791 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637020800000",
    "number": "1316278088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S376 SUMMIT AVE STE 4C",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813966",
            "telephone_number": "630-424-1122",
            "fax_number": "630-324-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606476541",
            "telephone_number": "773-227-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM HEILIZER SC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-20",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A",
        "authorized_official_last_name": "NOBLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "REVENUE MANAGER",
        "authorized_official_telephone_number": "630-424-1122"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Remegio M Vilbar MD SC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.