Vanguard Eldercare Medical Group - Illinois SC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

VANGUARD ELDERCARE MEDICAL GROUP - ILLINOIS SC

Practice address

12600 Renaissance Cir
Homer Glen, IL 60491-5891

Phone

(574) 546-1900

Fax

(574) 546-1999

NPI assigned

Nov 6, 2019

Last updated

Apr 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven L PosarNPI 1154308575

Title

President

Phone

(574) 546-1900

Specialties & licenses 3

Addresses

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.

• Steven L Posar, MD

  • Internal Medicine Physician
  • Crown Point, IN
  • NPI 1154308575
  Authorized official Same address or phone

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

{
    "created_epoch": "1572998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1891339487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N MAIN ST STE 301",
            "address_2": "ONE PROFESSIONAL CENTER",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463071877",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 RENAISSANCE CIR",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604915891",
            "telephone_number": "574-546-1900",
            "fax_number": "574-546-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD ELDERCARE MEDICAL GROUP - ILLINOIS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-06",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "POSAR",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-546-1900"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tessa N Troike, M.S. CF-SLP
• Stephanie Kristine Tunney
• Usv Optical Inc.
• Rebecca Katherine Vacco-Giudice, LCSW
• Karen Vachulcik, LCPC, NCC, CADC, BCC
• Brandie Lyn Varan, M.H.S.
• Thomas J Vasdekas, M.D.
• Marie A Veldman, DO
• Angela Planer Venegoni, DDS
• Christina Virgini, LPC

• Family Nurse Practitioner in Homer Glen, IL
• Providers in Homer Glen, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.