Active NPI
Illumihealth LTD
- Internal Medicine Physician
- Vernon Hills, IL
National Provider Identifier
1780432740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- ILLUMIHEALTH LTD
- Practice address
- 270 Center Dr Ste 120
Vernon Hills, IL 60061-1564 - Phone
- (224) 800-1060
- NPI assigned
- May 7, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tommy Kwak, MD
- Title
- President
- Phone
- (224) 800-1060
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
270 Center Dr Ste 120
Vernon Hills, IL 60061-1564
Mailing address
270 Center Dr Ste 120
Vernon Hills, IL 60061-1564
Other names 1
- ELUMIMED
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2308809 | Elumimed | Certificate of waiver | Aug 4, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Vernon Hills, IL
- NPI 1235472820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726099200000",
"number": "1780432740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 CENTER DR STE 120",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600611564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 CENTER DR STE 120",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600611564",
"telephone_number": "224-800-1060"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ILLUMIHEALTH LTD",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-07",
"last_updated": "2024-09-12",
"certification_date": "2024-09-12",
"status": "A",
"authorized_official_last_name": "KWAK",
"authorized_official_first_name": "TOMMY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "224-800-1060",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ELUMIMED",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Vernon Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.