Organization Active NPI

LG Healthcare LLC

  • Internal Medicine Physician
  • Barrington, IL
National Provider Identifier
1912378605
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036089072 Issued in IL
Legal business name
LG HEALTHCARE LLC
Practice address
304 Fox Glen CT Unit 178
Barrington, IL 60010-1818
Phone
(847) 462-1700
Fax
(847) 462-1792
NPI assigned
Oct 7, 2015
Last updated
Jun 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
John H Gong, MDNPI 1962414623
Title
Owner
Phone
(630) 361-4277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036089072 IL Primary

Addresses

Primary practice location

304 Fox Glen CT Unit 178
Barrington, IL 60010-1818

Mailing address

25 Telser Rd Unit 178
Lake Zurich, IL 60047-3608
Phone (847) 462-1700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160303000906 IL Part B Supplier - Clinic/Group Practice 8527364405 Receives reassigned benefits from 8 practitioners
Practice locations: Barrington, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2109816LG Healthcare LLC304 Fox Glen CT, Barrington, IL 60010Provider-performed microscopyMar 1, 2028

National Provider Directory

National Provider Directory

Locations

304 Fox Glen Ct
Unit 178
Barrington, IL 60010
Phone (847) 462-1700

910 Il Route 22
Fox River Grv, IL 60021
Phone (847) 462-1700

25 Telser Rd
Unit 178
Lake Zurich, IL 60047

900 W State Route 22
Lake Zurich, IL 60047

900 W State Route 22
Ste 100
Lake Zurich, IL 60047
Phone (847) 462-1700

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1912378605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 TELSER RD UNIT 178",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473608",
            "telephone_number": "847-462-1700",
            "fax_number": "847-462-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 FOX GLEN CT UNIT 178",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600101818",
            "telephone_number": "847-462-1700",
            "fax_number": "847-462-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LG HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A",
        "authorized_official_last_name": "GONG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-361-4277",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036089072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.