Active NPI
Regency Medical Spa
- Family Medicine Physician
- Barrington, IL
National Provider Identifier
1699844134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- REGENCY MEDICAL SPA
- Practice address
- 304 Fox Glen CT
Barrington, IL 60010-1818 - Phone
- (847) 348-6425
- Fax
- (847) 239-7919
- NPI assigned
- Nov 7, 2006
- Last updated
- Dec 28, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nader Aziz, MD
- Title
- Owner
- Phone
- (847) 863-8964
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
304 Fox Glen CT
Barrington, IL 60010-1818
Mailing address
304 Fox Glen CT
Barrington, IL 60010-1818
Phone (847) 348-6425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040723000904 | IL | Part B Supplier - Clinic/Group Practice | 0941280481 |
Receives reassigned benefits from 1 practitioner 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lake Barrington, IL; Palatine, IL |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Family Medicine Physician
- Lake Barrington, IL
- NPI 1972687481
O20040723000904
National Provider Directory
National Provider DirectoryLocations
304 Fox Glen Ct
Barrington, IL 60010
Phone (847) 348-6425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1609113600000",
"number": "1699844134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 FOX GLEN CT",
"city": "BARRINGTON",
"state": "IL",
"postal_code": "600101818",
"telephone_number": "847-348-6425",
"fax_number": "847-239-7919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 FOX GLEN CT",
"city": "BARRINGTON",
"state": "IL",
"postal_code": "600101818",
"telephone_number": "847-348-6425",
"fax_number": "847-239-7919"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGENCY MEDICAL SPA",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-07",
"last_updated": "2020-12-28",
"certification_date": "2020-12-28",
"status": "A",
"authorized_official_last_name": "AZIZ",
"authorized_official_first_name": "NADER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-863-8964",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barrington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.