Seniorcare Medical Group LLC

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

SENIORCARE MEDICAL GROUP LLC

Practice address

746 W Spring St
South Elgin, IL 60177-1424

Phone

(847) 697-0565

Fax

(847) 697-0568

NPI assigned

Oct 31, 2018

Organization subpart

No

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

Authorized official

Name

Kate Onyibor, MDNPI 1801895701

Title

Owner

Phone

(224) 357-6997

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kate Anayochukwu Onyibor, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • South Elgin, IL
  • NPI 1801895701
  NPD Authorized official

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

{
    "created_epoch": "1540944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582416000000",
    "number": "1972070605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 COLCHESTER CT",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601924164",
            "telephone_number": "224-357-6997",
            "fax_number": "224-227-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 W SPRING ST",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771424",
            "telephone_number": "847-697-0565",
            "fax_number": "847-697-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIORCARE MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-31",
        "last_updated": "2020-02-23",
        "certification_date": "2020-02-23",
        "status": "A",
        "authorized_official_last_name": "ONYIBOR",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-357-6997",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle L Schultz, MSED, ATC
• Chad Alan Schusler, DNP PMHNP
• Jennifer Scribano, LSW MSW CADC QMHP
• Brittney Ann Segoviano, LCPC
• Senior Living Properties
• Atish Shah, DMD
• Metali Shah
• Shilpa Shah
• Jessica Rae Shanahan, PA-C
• Tricia Sharkey

• Geriatric Medicine (Internal Medicine) Physician in South Elgin, IL
• Providers in South Elgin, IL by specialty
• Geriatric Medicine (Internal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2020; 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.