Organization Active NPI

Physicians Accountable Care Trust, LLC

  • Exclusive Provider Organization
  • Elgin, IL
National Provider Identifier
1992505994
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
PHYSICIANS ACCOUNTABLE CARE TRUST, LLC
Practice address
2205 Point Blvd Ste 220
Elgin, IL 60123-7840
Phone
(847) 665-7050
NPI assigned
Mar 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Ms. Consuelo Ines Salazar
Title
Executive Assistant
Phone
(847) 951-1652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

2205 Point Blvd Ste 220
Elgin, IL 60123-7840

Mailing address

2205 Point Blvd Ste 220
Elgin, IL 60123-7840
Phone (847) 665-7050

National Provider Directory

National Provider Directory

Locations

2205 Point Blvd
Ste 220
Elgin, IL 60123
Phone (847) 665-7050

NPI Registry JSON

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1992505994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 POINT BLVD STE 220",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237840",
            "telephone_number": "847-665-7050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 POINT BLVD STE 220",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237840",
            "telephone_number": "847-665-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS ACCOUNTABLE CARE TRUST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "CONSUELO",
        "authorized_official_middle_name": "INES",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "847-951-1652",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.