Organization Active NPI

Nephrology Associates at Elgin Clinic PC

  • Nephrology Physician
  • Elgin, IL
National Provider Identifier
1457340093
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY ASSOCIATES AT ELGIN CLINIC PC
Practice address
1530 N Randall Rd
Suite 200
Elgin, IL 60123-7877
Phone
(847) 697-6464
Fax
(847) 697-6478
NPI assigned
Oct 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Mrs. Zahida Y Malik
Title
Office Manager
Phone
(847) 697-6464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

1530 N Randall Rd
Suite 200
Elgin, IL 60123-7877

Mailing address

1530 N Randall Rd
Suite 200
Elgin, IL 60123-7877
Phone (847) 697-6464

National Provider Directory

National Provider Directory

Locations

27750 W Il Route 22
Ste G60
Barrington, IL 60010
Phone (847) 697-6464

6298 Northwest Hwy
Ste 300
Crystal Lake, IL 60014
Phone (815) 477-0825

901 Center St
Ste H
Elgin, IL 60120
Phone (224) 783-8754

719 Ridgeview Dr
#B
McHenry, IL 60050
Phone (815) 697-6464

4309 W Medical Center Dr
Ste B307
McHenry, IL 60050
Phone (847) 697-6464

33 W Higgins Rd
Ste 920
South Barrington, IL 60010
Phone (847) 783-4700

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1457340093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 N RANDALL RD",
            "address_2": "SUITE 200",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237877",
            "telephone_number": "847-697-6464",
            "fax_number": "847-697-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N RANDALL RD",
            "address_2": "SUITE 200",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237877",
            "telephone_number": "847-697-6464",
            "fax_number": "847-697-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEPHROLOGY ASSOCIATES AT ELGIN CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "ZAHIDA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-697-6464",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.