NPIMap

Organization Active NPI

Greater Elgin Family Care Center

Doing business as Liberty Elementary

  • Federally Qualified Health Center (FQHC)
  • Bartlett, IL
National Provider Identifier
1689125650
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GREATER ELGIN FAMILY CARE CENTER
Doing business as
Liberty Elementary
Practice address
1375 W Bartlett Rd
Bartlett, IL 60103-1545
Phone
(847) 608-6001
Fax
(847) 841-6739
NPI assigned
Oct 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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

Authorized official

Name
Jason Carey, CPA
Title
Cfo
Phone
(847) 608-6053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1375 W Bartlett Rd
Bartlett, IL 60103-1545

Mailing address

370 Summit St
Elgin, IL 60120-3843
Phone (847) 608-6001

Other names 1

  • LIBERTY ELEMENTARY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Greter Elgin Family Care Center85 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

1375 W Bartlett Rd
Bartlett, IL 60103
Phone (630) 540-7680

NPI Registry JSON

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476403200000",
    "number": "1689125650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 SUMMIT ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601203843",
            "telephone_number": "847-608-6001",
            "fax_number": "847-841-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 W BARTLETT RD",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601031545",
            "telephone_number": "847-608-6001",
            "fax_number": "847-841-6739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER ELGIN FAMILY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-10-14",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-608-6053",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIBERTY ELEMENTARY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bartlett, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2016; 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.