Deerpath Physicians Group LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DEERPATH PHYSICIANS GROUP LTD

Practice address

731 S Illinois Route 21
Suite 130
Gurnee, IL 60031-3813

Phone

(847) 566-3337

Fax

(847) 816-3166

NPI assigned

Oct 25, 2007

Last updated

Aug 26, 2008By 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

Dr. Andrew Savin, MDNPI 1811000391

Title

President

Phone

(847) 566-3337

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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.

• Andrew L Savin, MD

  • Internal Medicine Physician
  • Boynton Beach, FL
  • NPI 1811000391
  NPD (past) Authorized official
• Regan Alene Christopoulos, MD

  • Internal Medicine Physician
  • Gurnee, IL
  • NPI 1740231596
  NPD (past)
• Pamela Fennewald, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Gurnee, IL
  • NPI 1912911991
  NPD (past)
• Chae Han - Chang, MD

  • Internal Medicine Physician
  • Gurnee, IL
  • NPI 1588777122
  NPD (past)

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1942489075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 S. ILLINOIS ROUTE 21",
            "address_2": "SUITE 130",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313813",
            "telephone_number": "847-566-3337",
            "fax_number": "847-816-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 S ILLINOIS ROUTE 21",
            "address_2": "SUITE 130",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313813",
            "telephone_number": "847-566-3337",
            "fax_number": "847-816-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEERPATH PHYSICIANS GROUP LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "SAVIN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-566-3337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "04930281",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Philip Wesley Davidson, D.C
• Susan Roberta Davis, LCPC, CDS
• Christopher Noche De Leon, PTA
• Omaima Degani, M.D.
• Delany Dental Care
• Ieve Villamil Deleon, PT
• Sandra N Denman, PA-C
• Dental Associates of South Ridge, P.C.

• Internal Medicine Physician in Gurnee, IL
• Providers in Gurnee, 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 Aug 26, 2008; 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.