Apex Northwest Healthcare S.C.
Organization Active NPI Internal Medicine Physician · Hoffman Estates, IL
NPI 1891199154 · NPPES record last updated Mar 14, 2023
Key facts
- NPI
- 1891199154
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- APEX NORTHWEST HEALTHCARE S.C.
- Practice address
- 2500 W Higgins Rd Ste 1120
Hoffman Estates, IL 60169-2050 - Phone
- (847) 906-3022
- Fax
- (855) 754-0596
- NPI assigned
- Oct 15, 2014
- Organization subpart
- No
Authorized official
- Name
- Poonam Gill, MD
- Title
- Owner/Ceo
- Phone
- (847) 906-3022
Practitioners 1
-
Poonam J Gill, M.D
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150413000352 | IL | Part B Supplier - Clinic/Group Practice | 4183942725 |
Receives reassigned benefits from 1 practitioner Practice locations: Hoffman Estates, IL |
National Provider Directory
Locations
2500 W Higgins Rd
Ste 1120
Hoffman Estates, IL 60169
Phone (847) 693-0882
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JCAADA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes | ||
| Health Service Clinic/Center | 261QH0100X | 036117480 | IL |
Addresses
Primary practice location
2500 W Higgins Rd Ste 1120
Hoffman Estates, IL 60169-2050
Mailing address
2500 W Higgins Rd Ste 1120
Hoffman Estates, IL 60169-2050
Phone (847) 906-3022
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036117480 | Medicaid | IL |
Other providers in Hoffman Estates, IL
- Andrew W. Hartman, Psy.D.
- Nina Giovanna Angiulo
- Anne G Szpindor MD PC
- Frank Antikidis
- Anu Sood DDS
- Apmdental,, Inc
- Emelia Baasiwah Appiagyei
- Michael Obeng Appiagyei
- Apple Island Nutrition PLLC
- Applied Chiropractic Arts
All providers in Hoffman Estates, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.