Northwest Pulmonary and Sleep Medicine SC

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

036-104219 Issued in IL

Legal business name

NORTHWEST PULMONARY AND SLEEP MEDICINE SC

Practice address

1340 Ryan Pkwy
Algonquin, IL 60102-4527

Phone

(815) 477-7350

Fax

(815) 477-7351

NPI assigned

Dec 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dennis Franklin Kellar, MDNPI 1679683866

Title

Owner/Physician

Phone

(815) 477-7350

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CIHEBA

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dennis F. Kellar, MD

  • Pulmonary Disease Physician
  • Algonquin, IL
  • NPI 1679683866
  Medicare reassignment Care Compare group NPD Authorized official
• Amanda M Law, APRN, CNP

  • Nurse Practitioner
  • Winfield, IL
  • NPI 1558380634
  Medicare reassignment Care Compare group NPD
• Julie A Grandolfo, FNP-BC

  • Adult Health Nurse Practitioner
  • Algonquin, IL
  • NPI 1093312977
  Medicare reassignment NPD
• Janet Lenz, APN

  • Nurse Practitioner
  • Barrington, IL
  • NPI 1619297934
  Medicare reassignment NPD
• Eleanor M. Russell

  • Acute Care Nurse Practitioner
  • Elk Grove Village, IL
  • NPI 1518110725
  Medicare reassignment NPD
• Julie Ann Wubs, RN, ACNP

  • Acute Care Nurse Practitioner
  • Lake Zurich, IL
  • NPI 1093862146
  Medicare reassignment NPD
• Amy Melissa Batista, NP

  • Adult Health Nurse Practitioner
  • Naperville, IL
  • NPI 1770844060
  Medicare reassignment
• Siobhan Lynch, FNP-C

  • Family Nurse Practitioner
  • Wauconda, IL
  • NPI 1265109045
  Medicare reassignment
• Renee Griffin Buchanan, PA C

  • Physician Assistant
  • Fox River Grove, IL
  • NPI 1245226802
  NPD
• Haydee Cantu-Manley, M.D.

  • Family Medicine Physician
  • Crystal Lake, IL
  • NPI 1043638042
  NPD
• Kristen L Dolder, PA-C

  • Physician Assistant
  • Algonquin, IL
  • NPI 1992072649
  NPD
• Philip Favia, MD

  • Family Medicine Physician
  • Algonquin, IL
  • NPI 1295729564
  NPD

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1881878221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 RYAN PKWY",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601024527",
            "telephone_number": "815-477-7350",
            "fax_number": "815-477-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 RYAN PKWY",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601024527",
            "telephone_number": "815-477-7350",
            "fax_number": "815-477-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST PULMONARY AND SLEEP MEDICINE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-20",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "KELLAR",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "815-477-7350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "IL",
            "license": "036-104219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "216086",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Nolan, MS, ALMFT
• Lisa Maire Nold, ATC
• Northern Illinois Home Healthcare Co.
• Northern Illinois Medical Center
• Northwest Primary Care PC
• Jillian Nuzzo
• Kelsey Kathleen O'Brien
• Oak Crest Laboratory Services, Inc
• Morris Tunde Ogunleye
• Rebecca Oller

• Legal Medicine in Algonquin, IL
• Providers in Algonquin, IL by specialty
• Legal Medicine in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.