Active NPI
Boris Gurevich, M.D.
- Internal Medicine Physician
- Northbrook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 036062524
- Practice address
- 3400 Dundee Rd Ste 230
Northbrook, IL 60062-2334 - Phone
- (847) 849-1523
- Fax
- (847) 890-6145
- NPI assigned
- Jan 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036062524 | IL | Primary |
Addresses
Primary practice location
3400 Dundee Rd Ste 230
Northbrook, IL 60062-2334
Mailing address
566 Lincoln Ave Unit 2E
Winnetka, IL 60093-2354
Phone (847) 226-5503
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036062524 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3400 Dundee Rd
Suite 230
Northbrook, IL 60062-2334
Phone (847) 849-1523
Hospital & facility affiliations
- Northshore University Healthsystem - Evanston Hospital
- Northwest Community Hospital 1
- Swedish Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bvgmedical PLLC | Internal Medicine | Current | Accepting new patients |
| California Devon Medical Center | Internal Medicine | Past | Accepting new patients |
Locations
3400 Dundee Rd
Ste 230
Northbrook, IL 60062
Phone (847) 226-5503
3400 Dundee Rd
Northbrook, IL 60062
Phone (312) 492-4820
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Bella Terra Wheeling | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
Sep 1, 2019 Sep 1, 2019 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Wheeling, IL
- NPI 1548814973
Adp of the SNF, Operational/Managerial Control
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Northbrook, IL
- NPI 1164263133
-
- General Practice Physician
- Wheeling, IL
- NPI 1639375637
Internal Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
-
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1578932869
-
- General Acute Care Hospital
- Arlington Heights, IL
- NPI 1770531600
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1831151257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1902877129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "566 LINCOLN AVE UNIT 2E",
"city": "WINNETKA",
"state": "IL",
"postal_code": "600932354",
"telephone_number": "847-226-5503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 DUNDEE RD STE 230",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622334",
"telephone_number": "847-849-1523",
"fax_number": "847-890-6145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUREVICH",
"first_name": "BORIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-27",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036062524",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036062524",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.