NPIMap

Individual provider Active NPI

Erwin George Szela Jr., M.D.

  • Obstetrics & Gynecology Physician
  • Buffalo Grove, IL
National Provider Identifier
1932171949
Registry record updated Jun 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
036-075651 Issued in IL
Practice address
600 W Lake Cook Rd
Suite 120
Buffalo Grove, IL 60089-2089
Phone
(847) 808-8884
Fax
(847) 808-8890
NPI assigned
Feb 3, 2006
Last updated
Jun 24, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036-075651 IL Primary

Addresses

Primary practice location

600 W Lake Cook Rd
Suite 120
Buffalo Grove, IL 60089-2089

Mailing address

600 W Lake Cook Rd
Suite 120
Buffalo Grove, IL 60089-2089
Phone (847) 808-8884

Other identifiers 1

IdentifierTypeStateIssuer
036075651MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080923000516 IL Practitioner - Obstetrics/Gynecology 2860455052 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rush Medical College of Rush University, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bonaventure Medical Foundation LLCGroup PAC ID 7517863178, 164 clinicians

Practice addresses (Care Compare)

1555 Barrington Rd
Hoffman Estates, IL 60169-1019
Phone (847) 490-6945

1555 Barrington Rd
Suite 2350
Hoffman Estates, IL 60169-5016
Phone (847) 755-1300

1786 Moon Lake Blvd
Hoffman Est, IL 60194-5029
Phone (847) 755-8208

1931 N Meacham Rd
FL 2
Schaumburg, IL 60173-4364
Phone (847) 808-8884

231 E Northwest Hwy
Palatine, IL 60067-8114
Phone (847) 202-6060

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-075651ILMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Access Community Health Network CurrentSince Oct 31, 2014 Accepting new patients
Access Community Health Network Current Accepting new patients
Access Community Health Network CurrentSince Oct 31, 2014 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: erwin.szela.p1@direct.gefcc.nextgenshare.com
  • Direct secure messaging: eszela5770@direct.achn.net
  • Direct secure messaging: erwin.szela.1@380.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1932171949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W LAKE COOK RD",
            "address_2": "SUITE 120",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600892089",
            "telephone_number": "847-808-8884",
            "fax_number": "847-808-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W LAKE COOK RD",
            "address_2": "SUITE 120",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600892089",
            "telephone_number": "847-808-8884",
            "fax_number": "847-808-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZELA",
        "first_name": "ERWIN",
        "middle_name": "GEORGE",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036-075651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036075651",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

Verify at the official NPI Registry.