Organization Active NPI

Village Internal Medicine, LTD

  • Internal Medicine Physician
  • Winnetka, IL
National Provider Identifier
1881890218
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VILLAGE INTERNAL MEDICINE, LTD
Practice address
700 Oak St
Suite 200
Winnetka, IL 60093-2566
Phone
(847) 446-1066
Fax
(847) 446-1825
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John M Wedell
Title
Business and Office Manager
Phone
(847) 446-1066

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X IL Primary

Addresses

Primary practice location

700 Oak St
Suite 200
Winnetka, IL 60093-2566

Mailing address

700 Oak St
Suite 200
Winnetka, IL 60093
Phone (847) 446-1066

Other names 1

  • Adelson and Grobelny Former legal business name

National Provider Directory

National Provider Directory

Locations

700 Oak St
Ste 200
Winnetka, IL 60093
Phone (547) 446-1066

700 Oak St
Winnetka, IL 60093
Phone (847) 446-1066

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881890218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 OAK ST",
            "address_2": "SUITE 200",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "60093",
            "telephone_number": "847-446-1066",
            "fax_number": "847-446-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 OAK ST",
            "address_2": "SUITE 200",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600932566",
            "telephone_number": "847-446-1066",
            "fax_number": "847-446-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE INTERNAL MEDICINE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEDELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS AND OFFICE MANAGER",
        "authorized_official_telephone_number": "847-446-1066",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adelson and Grobelny",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Winnetka, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.