NPIMap

Organization Active NPI

Elgin Gastroenterology Endoscopy Center LLC

Doing business as The Endo Center of Elgin Gastroenterology

  • Ambulatory Surgical Clinic/Center
  • Elgin, IL
National Provider Identifier
1992875454
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1710262 Issued in IL
Legal business name
ELGIN GASTROENTEROLOGY ENDOSCOPY CENTER LLC
Doing business as
The Endo Center of Elgin Gastroenterology
Practice address
745 Fletcher Dr FL 2
Elgin, IL 60123-4747
Phone
(847) 888-1300
Fax
(847) 888-1341
NPI assigned
Nov 9, 2006
Last updated
Nov 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Authorized official

Name
Carrie Lynn Lawlor
Title
Administrator
Phone
(847) 888-5711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 1710262 IL Primary

Addresses

Primary practice location

745 Fletcher Dr FL 2
Elgin, IL 60123-4747

Mailing address

745 Fletcher Dr Ste 201
Elgin, IL 60123-4749
Phone (847) 888-5712

Other names 1

  • The Endo Center of Elgin Gastroenterology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060320000427 IL Part B Supplier - Ambulatory Surgical Center 0547277303 Practice locations: Elgin, IL

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Elgin Gastroenterology Endoscopy Center LLCCCN 14C0001121
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

62912 Collection Ctr Dr
Chicago, IL 60693

745 Fletcher Dr
Elgin, IL 60123
Phone (847) 695-6600

745 Fletcher Dr
Fl 2
Elgin, IL 60123

745 Fletcher Dr
Ste 201
Elgin, IL 60123

Practitioners & affiliated clinicians

Practitioners 244

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.

View all 244

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1992875454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 FLETCHER DR STE 201",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234749",
            "telephone_number": "847-888-5712",
            "fax_number": "847-608-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 FLETCHER DR FL 2",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234747",
            "telephone_number": "847-888-1300",
            "fax_number": "847-888-1341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELGIN GASTROENTEROLOGY ENDOSCOPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "LAWLOR",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-888-5711"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "1710262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Endo Center of Elgin Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Endo Center of Elgin Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.