Organization Active NPI

Central Family Care & Weight Loss Clinic LLC

  • Family Medicine Physician
  • Arlington Heights, IL
National Provider Identifier
1437603453
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CENTRAL FAMILY CARE & WEIGHT LOSS CLINIC LLC
Practice address
3335 N Arlington Heights Rd Ste G-K
Arlington Heights, IL 60004-1573
Phone
(224) 347-2564
NPI assigned
Aug 8, 2016
Last updated
Mar 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Janusz A Mejer, MDNPI 1790836807
Title
Director
Phone
(773) 822-2564

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X IL Primary

Addresses

Primary practice location

3335 N Arlington Heights Rd Ste G-K
Arlington Heights, IL 60004-1573

Mailing address

15 Old Barn Rd
Hawthorn Woods, IL 60047-9149
Phone (773) 822-2564

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160929001420 IL Part B Supplier - Clinic/Group Practice 8628365954 Receives reassigned benefits from 4 practitioners
Practice locations: Arlington Heights, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2117488Central Family Care & Weight Loss Clinic3335 N Arlington Heights Rd - Ste G-K, Arlington Heights, IL 60004Certificate of waiverAug 16, 2026

National Provider Directory

National Provider Directory

Locations

3335 N Arlington Heights Rd
Arlington Heights, IL 60004
Phone (224) 347-2564

3335 N Arlington Heights Rd
Ste G
Arlington Heights, IL 60004
Phone (224) 347-2564

3335 N Arlington Heights Rd
Ste Gk
Arlington Heights, IL 60004
Phone (224) 347-2564

601 W Central Rd
Ste 6
Mount Prospect, IL 60056
Phone (224) 347-2564

Practitioners & affiliated clinicians

Practitioners 4

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": "1470614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1437603453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 OLD BARN RD",
            "city": "HAWTHORN WOODS",
            "state": "IL",
            "postal_code": "600479149",
            "telephone_number": "773-822-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 N ARLINGTON HEIGHTS RD STE G-K",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600041573",
            "telephone_number": "224-347-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL FAMILY CARE & WEIGHT LOSS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-08",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "MEJER",
        "authorized_official_first_name": "JANUSZ",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-822-2564",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.