Organization Active NPI

Me and My Doctor, LTD

  • Internal Medicine Physician
  • Elk Grove Village, IL
National Provider Identifier
1801292933
Registry record updated Nov 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036097078 Issued in IL
Legal business name
ME AND MY DOCTOR, LTD
Practice address
800 Biesterfield Rd
Brock Medical Plaza, Suite 2009
Elk Grove Village, IL 60007-3361
Phone
(630) 220-9961
NPI assigned
Nov 17, 2014
Last updated
Nov 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2014

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

Authorized official

Name
Sinisa Boskovic, MDNPI 1467462796
Title
Medical Director
Phone
(630) 220-9961

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036097078 IL Primary

Addresses

Primary practice location

800 Biesterfield Rd
Brock Medical Plaza, Suite 2009
Elk Grove Village, IL 60007-3361

Mailing address

825 Blue Ridge Dr
Streamwood, IL 60107-4504

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150203002025 IL Part B Supplier - Clinic/Group Practice 9032434519 Receives reassigned benefits from 1 practitioner
Practice locations: Schaumburg, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1416182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416182400000",
    "number": "1801292933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 BLUE RIDGE DR",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601074504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "address_2": "BROCK MEDICAL PLAZA, SUITE 2009",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073361",
            "telephone_number": "630-220-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ME AND MY DOCTOR, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-17",
        "last_updated": "2014-11-17",
        "status": "A",
        "authorized_official_last_name": "BOSKOVIC",
        "authorized_official_first_name": "SINISA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "630-220-9961",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036097078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2014; 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.