Organization Active NPI

Midwestern Institute of Health LTD

  • Family Medicine Physician
  • Round Lake Beach, IL
National Provider Identifier
1760656839
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-087000 Issued in IL
Legal business name
MIDWESTERN INSTITUTE OF HEALTH LTD
Practice address
19 W Rollins Rd
Round Lake Beach, IL 60073-1350
Phone
(847) 740-7260
Fax
(847) 740-7262
NPI assigned
Apr 18, 2008
Last updated
Nov 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Authorized official

Name
Dr. Leonard Ginzburg, M.D.NPI 1598767139
Title
President
Phone
(847) 740-7260

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 Physician 207Q00000X 036-087000 IL Primary

Addresses

Primary practice location

19 W Rollins Rd
Round Lake Beach, IL 60073-1350

Mailing address

19 W Rollins Rd
Round Lake Beach, IL 60073-1350
Phone (847) 740-7260

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100415000896 IL Part B Supplier - Clinic/Group Practice 3678600079 Receives reassigned benefits from 3 practitioners
Practice locations: Round Lake Beach, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0990294Midwestern Institute of Health LTD19 W Rollins Rd, Round Lake Beach, IL 60073Certificate of waiverAug 19, 2027

National Provider Directory

National Provider Directory

Locations

19 W Rollins Rd
Round Lake Beach, IL 60073
Phone (847) 740-7260

2 E Rollins Rd
Ste 104
Round Lake Beach, IL 60073
Phone (815) 354-6596

Practitioners & affiliated clinicians

Practitioners 3

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": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415923200000",
    "number": "1760656839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 W ROLLINS RD",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600731350",
            "telephone_number": "847-740-7260",
            "fax_number": "847-740-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W ROLLINS RD",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600731350",
            "telephone_number": "847-740-7260",
            "fax_number": "847-740-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWESTERN INSTITUTE OF HEALTH LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2014-11-14",
        "status": "A",
        "authorized_official_last_name": "GINZBURG",
        "authorized_official_first_name": "LEONARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-740-7260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-087000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Lake Beach, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.