Round Lake Family Physicians

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ROUND LAKE FAMILY PHYSICIANS

Doing business as

Round Lake Family Physicians

Practice address

707 Railroad Ave
Round Lake, IL 60073-3237

Phone

(847) 546-8777

Fax

(847) 546-8779

NPI assigned

Sep 22, 2005

Organization subpart

No

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

Authorized official

Name

Jai Jung Nho, M.D.

Title

General Partner

Phone

(847) 546-8777

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Round Lake Family Physicians Doing business as

Locations

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1427044759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 RAILROAD AVE",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600733237",
            "telephone_number": "847-546-8777",
            "fax_number": "847-546-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 RAILROAD AVE",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600733237",
            "telephone_number": "847-546-8777",
            "fax_number": "847-546-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUND LAKE FAMILY PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "NHO",
        "authorized_official_first_name": "JAI",
        "authorized_official_middle_name": "JUNG",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "847-546-8777",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0491507812",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Round Lake Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brogan Repp
• Restored Home Health , LLC
• Restored Home Healthcare, LLC
• Rosalind Franklin University at Chicagomedical School
• Round Lake Area Schools
• Gregory Ronald Roytman, DC
• Mykola Rudyk
• Safe Harbor Chicago North
• Laura Jean Sanzana, OTR/L
• Katie Louise Sarbacker, R.N.

• Family Medicine Physician in Round Lake, IL
• Providers in Round Lake, 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 Aug 4, 2010; 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.