Fidai Medical Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FIDAI MEDICAL GROUP

Practice address

1710 N Randall Rd
#380
Elgin, IL 60123-9400

Phone

(847) 741-9800

Fax

(847) 741-3058

NPI assigned

Oct 10, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shazleen Vargas

Title

Office Manager

Phone

(847) 741-9800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568450054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 N RANDALL RD",
            "address_2": "#380",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239400",
            "telephone_number": "847-741-9800",
            "fax_number": "847-741-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 N RANDALL RD",
            "address_2": "#380",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239400",
            "telephone_number": "847-741-9800",
            "fax_number": "847-741-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDAI MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "SHAZLEEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-741-9800"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph F Ferstl, DC DABCO
• Kelly Fetherling, LCSW
• Kelly Fey
• Deborah Ficken
• Fidai Medical Center S.C.
• John T Fiedler, M.D.
• Allyson Fields, PA-C
• Jonpaul Michel Figueroa, LPC
• Michael B. Finger, D.D.S.
• First Baptist Counselign Services

• Internal Medicine Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.