Golf Mill Medical Center LTD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036093705 Issued in IL

Legal business name

GOLF MILL MEDICAL CENTER LTD

Practice address

7124 W Touhy Ave
Niles, IL 60714-4526

Phone

(847) 983-8695

Fax

(847) 972-1926

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Edward E Hernaez, MD

Title

MD

Phone

(847) 983-8695

Specialties & licenses 2

Addresses

Other names 1

• Golf Mill Medical Center LTD Doing business as

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

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nida B Blankas Hernaez, MD

  • Pediatrics Physician
  • Niles, IL
  • NPI 1942357371
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1447356696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7124 W TOUHY AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144526",
            "telephone_number": "847-983-8695",
            "fax_number": "847-972-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7124 W TOUHY AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144526",
            "telephone_number": "847-983-8695",
            "fax_number": "847-972-1926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLF MILL MEDICAL CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "HERNAEZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "847-983-8695",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036093705",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036083674",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golf Mill Medical Center LTD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Puja Goel, M.A.
• Lisa Kathryn Goergen, M.A.
• Golden Care Inc.
• Golden Star Home Health Care LLC
• Golf Mill Family Clinic
• Golf Mill Pharmacy and Medical Supply Inc
• Golf Road Back and Neck Clinic, S.C.
• Debe Gonzales, BSN RN
• Emily Gonzalez, DPT/PT
• Tyler Goodwine, LCSW

• Family Medicine Physician in Niles, IL
• Providers in Niles, 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 Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.