Individual provider Active NPI

Cameron Haery, M.D.

  • Interventional Cardiology Physician
  • Elgin, IL
National Provider Identifier
1710934674
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
036097696 Issued in IL
Practice address
1975 Lin Lor LN Ste 155
Elgin, IL 60123-4902
Phone
(847) 717-0600
Fax
(847) 717-0297
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036097696 IL
Interventional Cardiology Physician 207RI0011X 036097696 IL Primary

Addresses

Primary practice location

1975 Lin Lor LN Ste 155
Elgin, IL 60123-4902

Mailing address

1000 Remington Blvd. Ste 100
Bolingbrook, IL 60440
Phone (630) 914-2898

Other practice location 1

3118 N Ashland Ave
Chicago, IL 60657-3014
Phone (773) 880-9722

Other practice location 2

2971 W Algonquin Rd Ste 106
Algonquin, IL 60102-9407
Phone (847) 854-1987

Other practice location 3

4309 W Medical Center Dr Ste A200
McHenry, IL 60050-8437
Phone (815) 759-8070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051024000290 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1153380332 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4309 W Medical Ctr Dr
Suite A200
McHenry, IL 60050-8437
Phone (815) 759-8070

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting40
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036097696ILMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation CurrentSince Sep 1, 2024 Accepting new patients
Advocate Health & Hospitals Corp. CurrentSince Mar 17, 2014 Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Sep 1, 2024 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Mar 17, 2014 Accepting new patients
Central Dupage Physician Group Family Medicine Past Accepting new patients
Inphynet Primary Care Physicians Midwest, S.C. Past Accepting new patients
Advocate Health Centers, Inc. Past Accepting new patients
First Coast Cardiovascular Institute LLC Past Accepting new patients

Locations

595 William R Latham SR Dr
Bourbonnais, IL 60914
Phone (815) 932-8944

135 N Arlington Heights Rd
Buffalo Grove, IL 60089
Phone (847) 215-8866

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

29373 Network Pl
Chicago, IL 60673

2740 W Foster Ave
Ste 101
Chicago, IL 60625
Phone (773) 334-3431

5145 N California Ave
Chicago, IL 60625
Phone (773) 989-3800

836 W Wellington Ave
Chicago, IL 60657
Phone (773) 296-7054

3118 N Ashland Ave
Chicago, IL 60657
Phone (773) 537-0077

1945 W Wilson Ave
Fl 4
Chicago, IL 60640
Phone (773) 736-6220

800 Biesterfield Rd
Ste G01
Elk Grove Vlg, IL 60007

101 S Major St
Eureka, IL 61530
Phone (309) 268-2172

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

4309 W Medical Center Dr
Ste A200
McHenry, IL 60050
Phone (815) 759-4699

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

7050 S Madison St
Willowbrook, IL 60527
Phone (630) 323-3680

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IEIHCA

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1710934674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 REMINGTON BLVD. STE 100",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "60440",
            "telephone_number": "630-914-2898",
            "fax_number": "630-914-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 LIN LOR LN STE 155",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234902",
            "telephone_number": "847-717-0600",
            "fax_number": "847-717-0297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3118 N Ashland Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606573014",
            "country_code": "US",
            "telephone_number": "773-880-9722",
            "fax_number": "773-880-9723",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2971 W Algonquin Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Algonquin",
            "state": "IL",
            "postal_code": "601029407",
            "country_code": "US",
            "telephone_number": "847-854-1987",
            "fax_number": "847-854-3225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4309 W Medical Center Dr Ste A200",
            "address_purpose": "LOCATION",
            "city": "McHenry",
            "state": "IL",
            "postal_code": "600508437",
            "country_code": "US",
            "telephone_number": "815-759-8070",
            "fax_number": "815-759-4931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAERY",
        "first_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036097696",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036097696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.