Active NPI
Circle Medical Care Group PA
- Family Medicine Physician
- Deer Park, IL
National Provider Identifier
1992550784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CIRCLE MEDICAL CARE GROUP PA
- Practice address
- 21660 W Field Pkwy
Deer Park, IL 60010-7265 - Phone
- (888) 803-3370
- Fax
- (888) 803-3331
- NPI assigned
- Apr 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maya Zilberg
- Title
- Payor Relationship Manager
- Phone
- (888) 803-3370
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
21660 W Field Pkwy
Deer Park, IL 60010-7265
Mailing address
333 1St St Ste a
San Francisco, CA 94105-2661
National Provider Directory
National Provider Directory- Tax ID family
- Circle Medical Care Group PA
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- NPI 1629823430
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713830400000",
"number": "1992550784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 1ST ST STE A",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941052661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21660 W FIELD PKWY",
"city": "DEER PARK",
"state": "IL",
"postal_code": "600107265",
"telephone_number": "888-803-3370",
"fax_number": "888-803-3331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CIRCLE MEDICAL CARE GROUP PA",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-23",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A",
"authorized_official_last_name": "ZILBERG",
"authorized_official_first_name": "MAYA",
"authorized_official_title_or_position": "PAYOR RELATIONSHIP MANAGER",
"authorized_official_telephone_number": "888-803-3370"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deer Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.