NPIMap

Organization Active NPI

Greater Family Health

  • Federally Qualified Health Center (FQHC)
  • Elgin, IL
National Provider Identifier
1720142557
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GREATER FAMILY HEALTH
Practice address
370 Summit St
Elgin, IL 60120-3843
Phone
(844) 599-3700
Fax
(847) 608-0672
NPI assigned
Dec 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Authorized official

Name
Jason Carey
Title
Cfo
Phone
(847) 608-1344

Specialties & licenses 1

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

Addresses

Primary practice location

370 Summit St
Elgin, IL 60120-3843

Mailing address

370 Summit St
Elgin, IL 60120-3843
Phone (844) 599-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030423000031 IL Part A Provider - Federally Qualified Health Center (FQHC) 9931018769 Practice locations: Elgin, IL

Federally qualified health center certification: CCN 141941

Legal name
GREATER FAMILY HEALTH
Organization structure
CorporationNon-profit
Incorporated
Aug 27, 1998 in IL
Enrollment address
370 Summit St
# 1
Elgin, IL 60120-3843

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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

1515 Lee St
Des Plaines, IL 60018

370 Summit St
#1
Elgin, IL 60120

450 Dundee Ave
Ste 105
Elgin, IL 60120

373 Summit St
Elgin, IL 60120
Phone (847) 531-8430

10225 Grand Ave
Franklin Park, IL 60131

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jose Lara Individual Corporate Director Nov 1, 2023
Deborah Everett Individual Corporate Director Nov 1, 2023
Corey Dixon Individual Corporate Director Nov 1, 2023
Paul Bednar Individual Corporate Director Nov 1, 2023
Jason Carey Individual Corporate OfficerCfo May 1, 2009 100%
W-2 Managing Employee Jan 26, 2009
Laura Espinoza Individual Corporate Director Nov 1, 2023
Lizette Leanos Individual Corporate Director Nov 1, 2023
Brian Heimberg Individual Corporate Director Nov 1, 2023

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1720142557",
    "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": "844-599-3700",
            "fax_number": "847-608-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 SUMMIT ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601203843",
            "telephone_number": "844-599-3700",
            "fax_number": "847-608-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER FAMILY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "CAREY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "847-608-1344"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.