Greater Northwest Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GREATER NORTHWEST MEDICAL GROUP

Practice address

1300 Busch Pkwy
Buffalo Grove, IL 60089-4505

Phone

(847) 459-7860

Fax

(847) 541-5315

NPI assigned

Jul 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael C Hartke, MBA

Title

Administrator

Phone

(847) 459-7860

Specialties & licenses 1

Addresses

Tax ID family

Greater Northwest Medical Group3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Greater Northwest Medical Group

  • Internal Medicine Physician
  • Glenview, IL
  • NPI 1134281173
  NPD tax ID
• Greater Northwest Medical Group

  • Internal Medicine Physician
  • Wheeling, IL
  • NPI 1730241787
  NPD tax ID

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1447280839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 BUSCH PKWY",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894505",
            "telephone_number": "847-459-7860",
            "fax_number": "847-541-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BUSCH PKWY",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894505",
            "telephone_number": "847-459-7860",
            "fax_number": "847-541-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER NORTHWEST MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "HARTKE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-459-7860",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole J Gopaul, D.C
• Emily Marie Gorecki
• Taylor Gostele, LCPC
• Meghan Delaney Gove
• Grand Vision USA Retail Holding Corporation
• Emily Greenberg
• Josie Greenemay, MA CF-SLP
• Dominique Marie Greve, P.T.
• Rebecca A Griesemer, PA-C
• Stacy Grossman, MSCCC-SLP

• Internal Medicine Physician in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.