Northwestern Internists, LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

207R00000X Issued in IL

Legal business name

NORTHWESTERN INTERNISTS, LTD

Practice address

676 N Saint Clair St
Suite 415
Chicago, IL 60611-2927

Phone

(312) 335-1133

Fax

(312) 335-9774

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. James Pekarek

Title

Practice Administrator

Phone

(312) 335-1133

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Samuel Granieri, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1154360873
  NPD
• Jason Primer, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1487693628
  NPD
• Beverly A. Calub, M.D.

  • Internal Medicine Physician
  • Manitowoc, WI
  • NPI 1316992993
  NPD

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1891709259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST",
            "address_2": "SUITE 415",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112927",
            "telephone_number": "312-335-1133",
            "fax_number": "312-335-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST",
            "address_2": "SUITE 415",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112927",
            "telephone_number": "312-335-1133",
            "fax_number": "312-335-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN INTERNISTS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "PEKAREK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "312-335-1133",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "207R00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwestern Cardiology & Internal Medicine SC
• Northwestern Dental Center
• Northwestern Dental Clinic LTD
• Northwestern Department of Neurosurgery
• Northwestern Health Care
• Northwestern Laser Vision, LLC
• Northwestern McGaw Center for Graduate Medical Education
• Northwestern McGaw Family Medicine Residency
• Northwestern McGaw Memorial Hospital
• Northwestern Medical Faculty Foudnation

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.