Organization Active NPI

M Palondikar MD PC

  • Family Medicine Physician
  • Long Grove, IL
National Provider Identifier
1700904448
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
M PALONDIKAR MD PC
Practice address
4160 RFD
Suite 306
Long Grove, IL 60047-9583
Phone
(847) 634-2333
Fax
(847) 634-1132
NPI assigned
Mar 27, 2007
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
Dr. Mahableshwar Vassant Palondikar, M.D.NPI 1447305743
Title
President
Phone
(847) 634-2333

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

4160 RFD
Suite 306
Long Grove, IL 60047-9583

Mailing address

4160 RFD
Suite 306
Long Grove, IL 60047-9583
Phone (847) 634-2333

National Provider Directory

National Provider Directory

Locations

4160 Rfd
Ste 306
Long Grove, IL 60047
Phone (847) 634-2333

Practitioners & affiliated clinicians

Practitioners 1

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700904448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 RFD",
            "address_2": "SUITE 306",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600479583",
            "telephone_number": "847-634-2333",
            "fax_number": "847-634-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 RFD",
            "address_2": "SUITE 306",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600479583",
            "telephone_number": "847-634-2333",
            "fax_number": "847-634-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M PALONDIKAR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PALONDIKAR",
        "authorized_official_first_name": "MAHABLESHWAR",
        "authorized_official_middle_name": "VASSANT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-634-2333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "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 Long Grove, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.