NPIMap

Organization Active NPI

North Suburban Physicians Group, LTD

  • Specialist
  • Niles, IL
National Provider Identifier
1750550703
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036100991 Issued in IL
Legal business name
NORTH SUBURBAN PHYSICIANS GROUP, LTD
Practice address
241 Golf Mill Ctr
Suite 600
Niles, IL 60714-1224
Phone
(847) 699-8888
Fax
(847) 699-8830
NPI assigned
Feb 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Authorized official

Name
Ms. Sandra E Sarafin
Title
Office/Billing Manager
Phone
(847) 699-8888

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038008965 IL
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 038008113 IL
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 036100991 IL Primary

Addresses

Primary practice location

241 Golf Mill Ctr
Suite 600
Niles, IL 60714-1224

Mailing address

241 Golf Mill Ctr
Suite 600
Niles, IL 60714-1224
Phone (847) 699-8888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080905000492 IL Part B Supplier - Clinic/Group Practice 8921174566 Receives reassigned benefits from 2 practitioners
Practice locations: Niles, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1750550703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 GOLF MILL CTR",
            "address_2": "SUITE 600",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141224",
            "telephone_number": "847-699-8888",
            "fax_number": "847-699-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 GOLF MILL CTR",
            "address_2": "SUITE 600",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141224",
            "telephone_number": "847-699-8888",
            "fax_number": "847-699-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUBURBAN PHYSICIANS GROUP, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "SARAFIN",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE/BILLING MANAGER",
        "authorized_official_telephone_number": "847-699-8888",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008965",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008113",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036100991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.

Verify at the official NPI Registry.