Trinity Physicians Group SC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036115234 Issued in IL

Legal business name

TRINITY PHYSICIANS GROUP SC

Practice address

590 Cobblestone LN
Buffalo Grove, IL 60089-1562

Phone

(630) 830-8192

Fax

(630) 830-8284

NPI assigned

Apr 23, 2009

Organization subpart

No

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

Authorized official

Name

Joseph Longo, DONPI 1023057320

Title

President

Phone

(630) 830-8192

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Joseph Longo, DO

  • Family Medicine Physician
  • Ripon, WI
  • NPI 1023057320
  NPD (past) Authorized official

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1487898383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1509",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601211509",
            "telephone_number": "224-238-4200",
            "fax_number": "847-214-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 COBBLESTONE LN",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891562",
            "telephone_number": "630-830-8192",
            "fax_number": "630-830-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY PHYSICIANS GROUP SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-23",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "LONGO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-830-8192",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036115234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036115234",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2234136",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Laura Trendell
• Gabriella Triolo
• Milena Triolo
• Brittany Turner
• Mark W Turner, PSY D
• Joanna Tylman, DMD

• Family Medicine Physician in Buffalo Grove, IL
• Providers in Buffalo Grove, 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 Jan 7, 2010; 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.