NPIMap

Organization Active NPI

Northwest Suburban Medical Associates, SC.

  • Specialist
  • Arlington HTS, IL
National Provider Identifier
1548206451
Registry record updated Oct 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NORTHWEST SUBURBAN MEDICAL ASSOCIATES, SC.
Practice address
880 W Central Rd
Suite 8100
Arlington HTS, IL 60005-2355
Phone
(847) 255-5030
Fax
(847) 255-0156
NPI assigned
Jun 20, 2006
Last updated
Oct 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2021

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

Authorized official

Name
Mrs. Donna L Lemke, BUSINESS OFFICE
Title
Business Manger Sr.
Phone
(847) 255-7226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

880 W Central Rd
Suite 8100
Arlington HTS, IL 60005-2355

Mailing address

880 W Central Rd
Suite 8100
Arlington HTS, IL 60005-2355
Phone (847) 255-5030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040520000263 IL Part B Supplier - Clinic/Group Practice 2163413097 Receives reassigned benefits from 8 practitioners
Practice locations: Arlington HTS, IL

National Provider Directory

National Provider Directory

Locations

1300 E Central Rd
Ste C
Arlington Hts, IL 60005
Phone (847) 255-5029

880 W Central Rd
Ste 8100
Arlington Hts, IL 60005
Phone (847) 255-5029

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633478400000",
    "number": "1548206451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 W CENTRAL RD",
            "address_2": "SUITE 8100",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600052355",
            "telephone_number": "847-255-5030",
            "fax_number": "847-255-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 W CENTRAL RD",
            "address_2": "SUITE 8100",
            "city": "ARLINGTON HTS",
            "state": "IL",
            "postal_code": "600052355",
            "telephone_number": "847-255-5030",
            "fax_number": "847-255-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST SUBURBAN MEDICAL ASSOCIATES, SC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "LEMKE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS MANGER SR.",
        "authorized_official_telephone_number": "847-255-7226",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BUSINESS OFFICE"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington HTS, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.