Organization Active NPI

Family Practice Specialist SC

  • General Practice Physician
  • Lake Barrington, IL
National Provider Identifier
1740470715
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
FAMILY PRACTICE SPECIALIST SC
Practice address
22285 Pepper Road
Suite 211
Lake Barrington, IL 60010-0302
Phone
(847) 277-9700
Fax
(847) 277-9708
NPI assigned
Jul 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Dr. Richard J Ferolo, M.D.
Title
President
Phone
(847) 277-9700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

22285 Pepper Road
Suite 211
Lake Barrington, IL 60010-0302

Mailing address

22285 Pepper Road
Suite 211
Lake Barrington, IL 60010-0302
Phone (847) 277-9700

National Provider Directory

National Provider Directory

Locations

22285 N Pepper Rd
Ste 211
Lake Barrington, IL 60010
Phone (847) 277-9700

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1740470715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22285 PEPPER ROAD",
            "address_2": "SUITE 211",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600100302",
            "telephone_number": "847-277-9700",
            "fax_number": "847-277-9708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22285 PEPPER ROAD",
            "address_2": "SUITE 211",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600100302",
            "telephone_number": "847-277-9700",
            "fax_number": "847-277-9708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE SPECIALIST SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "FEROLO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-277-9700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.