Active NPI 1164592432 Individual Practitioner Male Practitioner

Dr. Robert E Langman , DO

Internal Medicine • South Elgin, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Langman, DO is a certified Internal Medicine practicing in South Elgin, IL. With approximately 39 years of clinical experience since graduating from Des Moines University Of Osteopathic Medicine And Health Sciences in 1987, Dr. Langman delivers high-quality medical care to the local community at 552 RANDALL RD.

Dr. Langman is affiliated with Central Dupage Physician Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, hemoglobin a1c level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

552 Randall Rd

South Elgin, IL 601773315

Telephone 6303156700

Fax 6303156699

Medicare Profile & Education

Medical School

Des Moines University Of Osteopathic Medicine And Health Sciences

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in South Elgin, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +2.3 yrs vs City Avg

City Avg: 36.7 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

4 Specialists

Practicing in South Elgin, IL (7544 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

44.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Langman (39 Years) 39 Yrs

South Elgin Specialty Average (36.7 Years) 36.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	820	427	$194.00	$135.22
99213 Established patient office or other outpatient visit, typically 15 minutes	357	289	$123.00	$95.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	296	296	$270.00	$138.35
83036 Hemoglobin A1C level	207	124	$58.00	$9.48
G0008 Administration of influenza virus vaccine	116	115	$38.00	$33.43
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	114	100	$49.00	$17.10
90662 Influenza vaccine split virus, preservative free	113	112	$110.00	$81.56
93793 Anticoagulant management of patient taking warfarin	113	11	$36.00	$11.90
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	107	11	$10.54	$0.99
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	54	25	$70.00	$15.16
G0009 Administration of pneumococcal vaccine	22	22	$38.00	$33.45
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	17	17	$356.00	$289.38
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$290.00	$176.64
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$341.00	$175.87
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	14	$165.00	$56.56
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$96.00	$15.34
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	11	11	$96.00	$15.22
81003 Automated urinalysis test	11	11	$23.00	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	865	452	$194.00	$134.25
99213 Established patient office or other outpatient visit, typically 15 minutes	331	271	$123.00	$95.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	279	279	$270.00	$136.48
83036 Hemoglobin A1C level	244	137	$58.00	$9.52
G0008 Administration of influenza virus vaccine	107	107	$38.00	$32.05
90662 Influenza vaccine split virus, preservative free	105	105	$110.00	$71.83
93793 Anticoagulant management of patient taking warfarin	88	11	$36.00	$11.95
85610 Blood test, clotting time	85	13	$37.00	$4.20
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	84	11	$24.00	$1.05
G0009 Administration of pneumococcal vaccine	48	48	$38.00	$32.05
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	37	13	$70.00	$14.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$311.00	$176.39
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	27	27	$356.00	$281.99
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	22	22	$290.00	$175.07
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	21	21	$165.00	$130.80
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	21	21	$341.00	$174.72
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	18	$165.00	$55.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,040	464	$194.00	$135.60
99213 Established patient office or other outpatient visit, typically 15 minutes	340	273	$123.00	$95.87
83036 Hemoglobin A1C level	293	144	$58.00	$9.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	233	233	$270.00	$139.32
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	150	21	$24.00	$1.14
G0008 Administration of influenza virus vaccine	149	149	$38.00	$31.07
90662 Influenza vaccine split virus, preservative free	144	144	$110.00	$68.54
93793 Anticoagulant management of patient taking warfarin	89	11	$36.00	$11.20
85610 Blood test, clotting time	82	13	$37.00	$4.23
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	57	49	$165.00	$56.69
G0009 Administration of pneumococcal vaccine	56	54	$38.00	$31.27
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	50	18	$70.00	$15.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$311.00	$179.03
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$165.00	$131.75
20610 Aspiration and/or injection of fluid from large joint	23	11	$212.87	$61.93
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	22	13	$129.00	$43.98
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$290.00	$178.16
93000 Routine ekg using at least 12 leads including interpretation and report	19	18	$96.00	$15.49
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	18	18	$356.00	$278.05
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	15	15	$96.00	$15.41
90670 Pneumococcal vaccine for injection into muscle	14	14	$315.00	$249.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	874	405	$194.00	$138.47
83036 Hemoglobin A1C level	263	122	$58.00	$9.71
99213 Established patient office or other outpatient visit, typically 15 minutes	252	214	$123.00	$98.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	206	154	$268.00	$191.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	195	195	$270.00	$142.25
G0008 Administration of influenza virus vaccine	154	154	$38.00	$17.98
90662 Influenza vaccine split virus, preservative free	140	140	$109.68	$65.23
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	128	18	$24.00	$1.27
85610 Blood test, clotting time	95	13	$37.00	$4.29
93793 Anticoagulant management of patient taking warfarin	79	12	$36.00	$12.13
G0009 Administration of pneumococcal vaccine	61	61	$38.00	$17.93
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	41	36	$165.00	$56.82
99443 Telephone medical discussion with physician, 21-30 minutes	40	30	$250.00	$139.32
99497 Advance care planning, first 30 minutes	37	37	$252.00	$90.96
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	31	31	$165.00	$125.15
90670 Pneumococcal vaccine for injection into muscle	30	30	$315.00	$238.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$311.00	$180.64
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	19	$70.00	$15.17
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	25	25	$341.00	$179.58
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	17	11	$22.00	$2.02
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	17	12	$129.00	$44.32
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$290.00	$179.95
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	14	14	$30.00	$20.53
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$96.00	$16.07
36415 Insertion of needle into vein for collection of blood sample	11	11	$35.00	$3.00
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	11	11	$96.00	$16.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	744	372	$194.00	$116.61
83036 Hemoglobin A1C level	217	112	$58.00	$9.67
99443 Telephone medical discussion with physician, 21-30 minutes	182	149	$250.00	$116.41
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	166	166	$225.00	$124.52
G0008 Administration of influenza virus vaccine	149	144	$38.00	$17.72
90662 Influenza vaccine split virus, preservative free	143	138	$65.00	$60.51
99213 Established patient office or other outpatient visit, typically 15 minutes	129	112	$123.00	$79.77
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	110	18	$24.00	$1.46
85610 Blood test, clotting time	97	14	$37.00	$4.27
93793 Anticoagulant management of patient taking warfarin	71	17	$36.00	$12.56
G0009 Administration of pneumococcal vaccine	61	61	$38.00	$17.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	55	52	$268.00	$156.05
99442 Telephone medical discussion with physician, 11-20 minutes	36	33	$175.00	$80.63
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	32	31	$165.00	$57.37
90670 Pneumococcal vaccine for injection into muscle	32	32	$315.00	$227.04
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	29	29	$165.00	$117.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$311.00	$177.70
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	25	25	$290.00	$178.19
36415 Insertion of needle into vein for collection of blood sample	21	21	$35.00	$2.99
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	18	18	$96.00	$18.52
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$341.00	$181.77
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	11	$70.00	$15.29
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$96.00	$18.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	931	403	$194.00	$114.83
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	286	38	$24.00	$1.59
83036 Hemoglobin A1C level	234	112	$58.00	$10.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	159	117	$268.00	$153.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	159	159	$225.00	$123.56
85610 Blood test, clotting time	142	13	$37.00	$4.28
G0008 Administration of influenza virus vaccine	131	131	$38.00	$17.39
99213 Established patient office or other outpatient visit, typically 15 minutes	125	100	$123.00	$78.36
90662 Influenza vaccine split virus, preservative free	121	121	$64.79	$54.83
93793 Anticoagulant management of patient taking warfarin	81	18	$36.00	$12.66
G0009 Administration of pneumococcal vaccine	69	68	$38.00	$17.39
36415 Insertion of needle into vein for collection of blood sample	48	45	$35.00	$2.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	47	32	$70.00	$17.71
90670 Pneumococcal vaccine for injection into muscle	38	38	$302.89	$209.18
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	35	35	$341.00	$182.21
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	32	32	$143.75	$110.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$311.00	$170.54
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	25	17	$129.00	$43.76
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	20	$165.00	$56.65
20610 Aspiration and/or injection of fluid from large joint	21	17	$281.71	$78.24
93000 Routine ekg using at least 12 leads including interpretation and report	16	15	$96.00	$18.27
99496 Transitional care management services for problem of high complexity	15	14	$500.00	$245.68
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$290.00	$176.36
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	11	11	$96.00	$18.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,019	413	$194.00	$111.93
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	336	45	$24.00	$1.79
36415 Insertion of needle into vein for collection of blood sample	323	274	$35.00	$2.94
83036 Hemoglobin A1C level	225	102	$58.00	$11.75
85610 Blood test, clotting time	192	20	$37.00	$4.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	177	177	$225.00	$122.44
G0008 Administration of influenza virus vaccine	142	142	$38.00	$21.46
90662 Influenza vaccine split virus, preservative free	138	138	$51.64	$50.60
99213 Established patient office or other outpatient visit, typically 15 minutes	136	109	$123.00	$76.28
G0009 Administration of pneumococcal vaccine	98	98	$38.00	$21.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	85	69	$268.00	$152.23
90670 Pneumococcal vaccine for injection into muscle	62	62	$292.00	$197.86
20610 Aspiration and/or injection of fluid from large joint	50	32	$250.92	$68.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	43	19	$70.00	$21.62
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	36	36	$125.00	$105.59
93793 Anticoagulant management of patient taking warfarin	31	11	$36.00	$12.59
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	31	31	$341.00	$180.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$311.00	$174.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	23	$83.00	$46.37
99495 Transitional care management services for problem of at least moderate complexity	20	18	$355.00	$172.31
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$290.00	$174.28
99496 Transitional care management services for problem of high complexity	19	17	$500.00	$243.94
81003 Automated urinalysis test	18	17	$23.00	$2.71
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$96.00	$18.02
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	16	16	$96.00	$18.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,196	444	$194.00	$112.03
36415 Insertion of needle into vein for collection of blood sample	376	291	$35.00	$2.93
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	256	37	$24.00	$1.80
83036 Hemoglobin A1C level	218	111	$58.00	$13.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	154	154	$225.00	$121.30
85610 Blood test, clotting time	143	19	$37.00	$5.24
G0009 Administration of pneumococcal vaccine	127	127	$38.00	$26.65
G0008 Administration of influenza virus vaccine	124	122	$38.00	$26.65
99213 Established patient office or other outpatient visit, typically 15 minutes	119	97	$123.00	$76.83
90662 Influenza vaccine split virus, preservative free	118	117	$42.00	$41.16
90670 Pneumococcal vaccine for injection into muscle	102	102	$292.00	$185.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	82	38	$70.00	$26.83
G0102 Prostate cancer screening; digital rectal examination	64	64	$50.00	$20.89
20610 Aspiration and/or injection of fluid from large joint	37	24	$206.76	$60.85
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$311.00	$169.99
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	36	36	$341.00	$178.71
93000 Routine ekg using at least 12 leads including interpretation and report	34	34	$96.00	$17.69
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	25	25	$125.00	$94.78
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	22	22	$290.00	$173.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$83.00	$45.97
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	18	18	$96.00	$18.12
81003 Automated urinalysis test	17	17	$23.00	$3.02

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License IL 036-077898

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

036077898 (IL)

Commercial Insurance / Payer ID Railroad Medicare

110101777 (IL)

Commercial Insurance / Payer ID Medicare Ptan (Group)

920540 (IL)

Commercial Insurance / Payer ID Rail Road Medicare Ptan (Group)

DB1658 (IL)

Commercial Insurance / Payer ID Medicare Ptan (Individual)

920540024 (IL)

Commercial Insurance / Payer ID Rail Road Medicare Ptan (Individual)

P01051854 (IL)

Hospital & Practice Group Affiliations

Central Dupage Physician Group

552 Randall Rd, South Elgin, IL 601773315

Phone: 6303156700

Practice Associates & Co-Workers

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

3 Associated Practitioners

Stacy Baum , PA

Physician Assistant

NPI 1386899458

Physician Assistant

Natalie Connolly , NP

Nurse Practitioner

NPI 1558446526

Nurse Practitioner

Teresa Buratczuk , APRN, CNP

Nurse Practitioner

NPI 1588170773

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 14, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 14, 2013

Registered at 552 RANDALL RD, SOUTH ELGIN, IL 601773315 (Tel: 6303156700)

📍

Updated Business Mailing Address May 14, 2013

Registered at 552 RANDALL RD, SOUTH ELGIN, IL 601773315 (Tel: 6303156700)

👤

Provider Name / Credentials Updated May 14, 2013

Recorded as ROBERT LANGMAN, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2013

Internal Medicine (License #036-077898 in IL)

🟢

Initial NPI Registration & Enumeration November 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1164592432

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 08, 2006

Last Update: May 14, 2013

Sole Proprietor: No

Update or Correct Profile

Mailing Address

552 Randall Rd

South Elgin, IL 601773315

Phone: 6303156700

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.