Medical Associates of Elgin, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036129040 Issued in IL

Legal business name

MEDICAL ASSOCIATES OF ELGIN, LLC

Practice address

1750 N Randall Rd
Suite 110
Elgin, IL 60123-7900

Phone

(224) 629-4525

Fax

(847) 719-0341

NPI assigned

Jun 18, 2014

Last updated

Oct 17, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

SHAH MEDICAL ASSOCIATES, LLCAs reported in NPPES

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

Authorized official

Name

Cindy A Holtz, RHIT

Title

Practice Manager

Phone

(224) 629-4525

Specialties & licenses 2

Addresses

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

CLIA laboratory certificates

Part of

Shah Medical Associates LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Shah Medical Associates LLC

  • Internal Medicine Physician
  • Sycamore, IL
  • NPI 1609821008
  NPPES parent name

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1558775502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 N RANDALL RD",
            "address_2": "SUITE 110",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237900",
            "telephone_number": "224-629-4525",
            "fax_number": "847-719-0341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 N RANDALL RD",
            "address_2": "SUITE 110",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237900",
            "telephone_number": "224-629-4525",
            "fax_number": "847-719-0341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ASSOCIATES OF ELGIN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHAH MEDICAL ASSOCIATES, LLC",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "HOLTZ",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "224-629-4525",
        "authorized_official_credential": "RHIT"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036129040",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36103130",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tierney McMullin, MHP
• McMurry LTD.
• Renee McMurry, DC
• Donald Andrew McNamara, M.D.
• Meagan Alexander LLC
• Makayla Vanessa Medina
• Odaly Medina
• Rachel Meeden, PA-C
• Sajid Mehmood, MD
• Ajay Mehta, M.D.

• Family Medicine Physician in Elgin, IL
• Providers in Elgin, 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 Oct 17, 2014; 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.