Organization Active NPI

North West Health Institute SC

  • Internal Medicine Physician
  • Elk Grove Village, IL
National Provider Identifier
1588847727
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036113246 Issued in IL
Legal business name
NORTH WEST HEALTH INSTITUTE SC
Practice address
800 Biesterfield Rd
Ste 201
Elk Grove Village, IL 60007-3361
Phone
(847) 593-8616
Fax
(847) 593-8604
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Authorized official

Name
Dr. Flora Katsnelson, M.D.
Title
Owner
Phone
(847) 593-8616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036113246 IL Primary

Addresses

Primary practice location

800 Biesterfield Rd
Ste 201
Elk Grove Village, IL 60007-3361

Mailing address

PO Box 2526
Glenview, IL 60025-6526
Phone (847) 593-8616

Other identifiers 1

IdentifierTypeStateIssuer
036113246MedicaidIL

National Provider Directory

National Provider Directory

Locations

125 E Lake Cook Rd
#100
Buffalo Grove, IL 60089
Phone (817) 520-1400

810 Biesterfield Rd
#201
Elk Grove Village, IL 60007
Phone (847) 772-0089

800 Biesterfield Rd
Ste 201
Elk Grove Vlg, IL 60007
Phone (847) 593-8616

810 Biesterfield Rd
Ste 201
Elk Grove Vlg, IL 60007
Phone (847) 772-0089

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1588847727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2526",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600256526",
            "telephone_number": "847-593-8616",
            "fax_number": "847-593-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "STE 201",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073361",
            "telephone_number": "847-593-8616",
            "fax_number": "847-593-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH WEST HEALTH INSTITUTE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "KATSNELSON",
        "authorized_official_first_name": "FLORA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-593-8616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036113246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036113246",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.