Northwest Internal Medicine Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NORTHWEST INTERNAL MEDICINE GROUP LLC

Practice address

455 S Roselle Road Suite #226
Schaumburg, IL 60193

Phone

(847) 352-4649

Fax

(847) 352-4673

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Valerie G McFerren, OFFICE MANAGER

Title

Office Manager

Phone

(847) 352-4649

Specialties & licenses 1

Addresses

Other names 1

• NORTHWEST SUBURBAN MEDICAL GROUP Former legal business name

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247184000000",
    "number": "1649397258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S ROSELLE ROAD SUITE #226",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "60193",
            "telephone_number": "847-352-4649",
            "fax_number": "847-352-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S ROSELLE ROAD SUITE #226",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "60193",
            "telephone_number": "847-352-4649",
            "fax_number": "847-352-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST INTERNAL MEDICINE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2009-07-10",
        "status": "A",
        "authorized_official_last_name": "MCFERREN",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-352-4649",
        "authorized_official_credential": "OFFICE MANAGER"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHWEST SUBURBAN MEDICAL GROUP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Internal Medicine Physician in Schaumburg, IL
• Providers in Schaumburg, 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 Jul 10, 2009; 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.