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Deactivated NPI 1629064357 Deactivated / Inactive NPI Male Practitioner

Dr. Charles V Holmberg , MD

Internal Medicine • Gurnee, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Charles Holmberg has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 27, 2005
NPI Deactivation Date August 18, 2021
Total Practice Duration ~16 Years of Practice (2005 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Charles Holmberg, MD was a registered Internal Medicine practicing in Gurnee, IL. Throughout an active medical career spanning 16 years, Dr. Holmberg provided care at the practice location at 45 TOWER CT until profile deactivation on 2021-08-18.

Practice Location & Contact Primary Location

Practice Address

45 Tower Ct
Suite C

Gurnee, IL 600313376

Telephone 8476233200
Fax 8476239168
Associated Practice Facility / Clinic
🏢 Northern Lake Medical, Ltd. Facility NPI 1841247608

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Gurnee, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.6 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
30 Specialists

Practicing in Gurnee, IL (7544 Statewide)

Telehealth Adoption Rate
36.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 36-053570

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. Valentina Polyak , MD

Internal Medicine

NPI 1114913845

Doctor of Medicine (M.D.)

Dr. Vivek Arora , MD

Internal Medicine

NPI 1194712638

Doctor of Medicine (M.D.)

Matthew Nauman , PT

Physical Therapist

NPI 1235398694

Physical Therapist

Dr. Elizabeth Craig , MD

Radiology - Body Imaging

NPI 1245523216

Doctor of Medicine (M.D.)

Dr. Shilpa Bamrolia , MD

Internal Medicine

NPI 1306042999

Doctor of Medicine (M.D.)

Dr. Thomas Woike , DO

Internal Medicine

NPI 1700024411

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 18, 2021

Record deactivated on August 18, 2021

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 45 TOWER CT, SUITE C, GURNEE, IL 600313376 (Tel: 8476233200)

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Updated Business Mailing Address July 08, 2007

Registered at 45 TOWER CT, SUITE C, GURNEE, IL 600313376 (Tel: 8476233200)

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Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES HOLMBERG, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #36-053570 in IL)

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Initial NPI Registration & Enumeration September 27, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629064357
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 27, 2005
Last Update: July 08, 2007
Deactivation Date: August 18, 2021

Mailing Address

45 Tower Ct, Suite C

Gurnee, IL 600313376

Phone: 8476233200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.