NPIMap

Organization Active NPI

Northwest Community Health Services Inc

Doing business as NCH Medical Group

  • Obstetrics Physician
  • Arlington Heights, IL
National Provider Identifier
1467057513
Registry record updated Mar 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
NORTHWEST COMMUNITY HEALTH SERVICES INC
Doing business as
NCH Medical Group
Northwest Advanced Women's Healthcare at NCH
Practice address
880 W Central Rd Ste 6200
Arlington Heights, IL 60005-2378
Phone
(847) 618-0730
Fax
(847) 618-0799
NPI assigned
Dec 4, 2020
Last updated
Mar 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2021

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

Authorized official

Name
Michael Hartke
Title
Chief
Phone
(847) 618-5004

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VX0000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X
Advanced Practice MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 367A00000X

Addresses

Primary practice location

880 W Central Rd Ste 6200
Arlington Heights, IL 60005-2378

Mailing address

3040 W Salt Creek LN
Arlington Heights, IL 60005-1069
Phone (847) 618-3481

Other names 2

  • NCH MEDICAL GROUP Doing business as
  • NORTHWEST ADVANCED WOMEN'S HEALTHCARE AT NCH Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101103000837 IL Part B Supplier - Clinic/Group Practice 3375737331 Receives reassigned benefits from 400 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

880 W Central Rd
Ste 4100
Arlington Heights, IL 60005
Phone (847) 618-4400

880 W Central Rd
Ste 5100
Arlington Heights, IL 60005
Phone (847) 618-2080

1700 W Central Rd
Ste 140
Arlington Hts, IL 60005
Phone (312) 259-6200

220 N Smith St
Palatine, IL 60067
Phone (847) 991-0176

1941 Rohlwing Rd
Rolling Meadows, IL 60008
Phone (847) 618-0850

Practitioners & affiliated clinicians

Practitioners 399

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.

View all 399

NPI Registry JSON

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1467057513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 W SALT CREEK LN",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051069",
            "telephone_number": "847-618-3481",
            "fax_number": "847-618-3489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W CENTRAL RD STE 6200",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052378",
            "telephone_number": "847-618-0730",
            "fax_number": "847-618-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST COMMUNITY HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-04",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "HARTKE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "847-618-5004"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NCH MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORTHWEST ADVANCED WOMEN'S HEALTHCARE AT NCH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.