Center for Study Gu Diseases

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CENTER FOR STUDY GU DISEASES

Practice address

650 Spring Hill Ring Rd Ste 2000
West Dundee, IL 60118-1297

Phone

(847) 836-8270

NPI assigned

Jul 3, 2007

Organization subpart

No

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

Authorized official

Name

Peter E Smith

Title

Billing Agent

Phone

(815) 965-8505

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689872459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 FOREST VIEW AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611086406",
            "telephone_number": "815-965-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 SPRING HILL RING RD STE 2000",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601181297",
            "telephone_number": "847-836-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR STUDY GU DISEASES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "815-965-8505"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "04532219",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Bracken, LCSW
• John J Buckley, LCPC
• Nicole Rae Butcher, OTR/L
• Jasmin Buthman, APRN
• Center for Chiropractic Medicine, LTD
• Chiropractic Family Health Clinic WD LLC (West Dundee Chiropractic and Acupuncture)
• Hyun Jung Choi, PHARM.D.
• Holly Cizinauskas, LCPC
• Nicole Compiani, LPC
• Core Therapy, Inc,

• Internal Medicine Physician in West Dundee, IL
• Providers in West Dundee, 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 Aug 22, 2020; 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.