Olympia Fields Internal Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OLYMPIA FIELDS INTERNAL MEDICINE

Doing business as

Horizon Healthcare Associates SC

Practice address

19550 S Governors Highway
Ste 2000
Flossmoor, IL 60422-2136

Phone

(708) 957-8750

Fax

(708) 957-8602

NPI assigned

Jul 5, 2006

Last updated

Apr 29, 2009By 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

Ms. Lois A Glasgow

Title

Agent of Record President

Phone

(708) 957-8750

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Horizon Healthcare Associates SC Doing business as

Locations

Practitioners 6

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.

• Fawn Cohen, M.D.

  • Diagnostic Radiology Physician
  • Palos Heights, IL
  • NPI 1780852822
  NPD (past)
• Adrienne Fregia, MD

  • Gastroenterology Physician
  • Olympia Fields, IL
  • NPI 1477653111

  Internal Medicine

  NPD (past)
• Daniel J Grzegorek, D.O.

  • Internal Medicine Physician
  • Willowbrook, IL
  • NPI 1487651337
  NPD (past)
• Gerald J Mingolelli, MD

  • Gastroenterology Physician
  • Hazel Crest, IL
  • NPI 1508863531
  NPD (past)
• Ponnambalam S Sundram, MD

  • Cardiovascular Disease Physician
  • Harvey, IL
  • NPI 1437137478
  NPD (past)
• Jeffrey Howard Goldman, M.D.

  • Gastroenterology Physician
  • Traverse City, MI
  • NPI 1316039142
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1336170844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19550 S GOVERNORS HIGHWAY",
            "address_2": "STE 2000",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222136",
            "telephone_number": "708-957-8750",
            "fax_number": "708-957-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 S GOVERNORS HIGHWAY",
            "address_2": "STE 2000",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222136",
            "telephone_number": "708-957-8750",
            "fax_number": "708-957-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIA FIELDS INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "GLASGOW",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AGENT OF RECORD PRESIDENT",
        "authorized_official_telephone_number": "708-957-8750",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PALMETTO GBA",
            "identifier": "CA4448",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Healthcare Associates SC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sherry Plath Okeefe, PHD, LPC,NCC
• Yvonne Oldaker, CNM/APRN-FPA
• Olj Legacy Inc (Synergy HomeCare IL21)
• Kylie Alicia Olson, MS, OTR/L
• Olympia Fields Eyecare, LTD.
• Olympia Foot & Ankle Care, LTD.
• Omni Wound Consulting
• Optimal Care Services
• Yolanda Orange
• Orthodontic Associates LTD

• Family Medicine Physician in Flossmoor, IL
• Providers in Flossmoor, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; 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.