NPIMap

Individual provider Active NPI

John H. Gong, MD

  • Internal Medicine Physician
  • Barrington, IL
National Provider Identifier
1962414623
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036-089072 Issued in IL
Practice address
304 Fox Glen CT
Barrington, IL 60010-1818
Phone
(847) 462-1700
NPI assigned
Aug 12, 2006
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036-089072 IL Primary

Addresses

Primary practice location

304 Fox Glen CT
Barrington, IL 60010-1818

Mailing address

25 Telser Rd Unit 178
Lake Zurich, IL 60047-3608

Other identifiers 2

IdentifierTypeStateIssuer
036089072MedicaidIL
036089072OtherILSTATE LICENSE

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
I20070822000666 IL Practitioner - Internal MedicinePractitioner - Hospitalist 4183716152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Chicago, Pritzker School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
LG Healthcare LLCGroup PAC ID 8527364405, 2 clinicians

Practice addresses (Care Compare)

304 Fox Glen CT
Barrington, IL 60010-1818
Phone (847) 462-1700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-089072ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LG Healthcare LLC Internal Medicine CurrentSince Feb 1, 2016 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

304 Fox Glen Ct
Barrington, IL 60010
Phone (847) 348-6425

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
Ste 100
Lake Zurich, IL 60047
Phone (847) 462-1700

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1962414623",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 FOX GLEN CT",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600101818",
            "telephone_number": "847-462-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONG",
        "first_name": "JOHN",
        "middle_name": "H.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036-089072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036089072",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "036089072",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

Verify at the official NPI Registry.