Organization Active NPI

North Suburban Family Healthcare S.C.

  • Family Medicine Physician
  • Vernon Hills, IL
National Provider Identifier
1649376252
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NORTH SUBURBAN FAMILY HEALTHCARE S.C.
Practice address
565 Lakeview Pkwy
Suite 120
Vernon Hills, IL 60061-1857
Phone
(847) 955-9008
Fax
(847) 955-9029
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deborah L Winiger, MDNPI 1639178726
Title
President
Phone
(847) 955-9008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X IL Primary

Addresses

Primary practice location

565 Lakeview Pkwy
Suite 120
Vernon Hills, IL 60061-1857

Mailing address

565 Lakeview Pkwy
Suite 120
Vernon Hills, IL 60061-1857
Phone (847) 955-9008

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051121000052 IL Part B Supplier - Clinic/Group Practice 1355360272 Receives reassigned benefits from 1 practitioner
Practice locations: Vernon Hills, IL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0976908North Suburban Family Healthcare565 Lakeview Parkway Suite 120, Vernon Hills, IL 60061Certificate of waiverAug 15, 2026

National Provider Directory

National Provider Directory

Locations

565 Lakeview Pkwy
Ste 120
Vernon Hills, IL 60061
Phone (847) 816-8686

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649376252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 LAKEVIEW PKWY",
            "address_2": "SUITE 120",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611857",
            "telephone_number": "847-955-9008",
            "fax_number": "847-955-9029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 LAKEVIEW PKWY",
            "address_2": "SUITE 120",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611857",
            "telephone_number": "847-955-9008",
            "fax_number": "847-955-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUBURBAN FAMILY HEALTHCARE S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINIGER",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-955-9008",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.