The Medical & Surgical Center of Illinois

Primary specialty

Podiatric Clinic/CenterTaxonomy code 261QP1100X

Legal business name

THE MEDICAL & SURGICAL CENTER OF ILLINOIS

Practice address

3818 Nottingham Dr
Long Grove, IL 60047-5240

Phone

(847) 808-3338

NPI assigned

Apr 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Paul Potach

Title

President

Phone

(847) 808-3338

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1639343049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3818 NOTTINGHAM DR",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600475240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3818 NOTTINGHAM DR",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600475240",
            "telephone_number": "847-808-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MEDICAL & SURGICAL CENTER OF ILLINOIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "POTACH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-808-3338",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Tagle, OTR/L
• Tamara Hubbard, LCPC, LLC
• Kelly Keh Lih Tan, M.D.
• Marion Tan, DNP
• Linda Tandet, LCSW
• The Well Counseling Practice, PLLC
• Total Body Surgical Assistants Inc
• Ralitsa Petrova Trajanov, NP
• Anh Tran, L.AC
• Joseph A Tylka, DDS

• Podiatric Clinic/Center in Long Grove, IL
• Providers in Long Grove, IL by specialty
• Podiatric Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.