Provider
NEPTUNE
Public NPPES listing with taxonomy: Internal Medicine.
Resource details
Medicare status: Confirm directly
Unknown from NPPES
Source: NPPES NPI Registry
NPI: 1720447667
Taxonomy: Internal Medicine (207R00000X)
Source confidence: 58%
Medicare assignment: Unknown from NPPES
Address: 2189 N IL ROUTE 83 STE 220, ROUND LAKE BEACH, IL, 600734906
Phone: 312-857-5382
Last verified: May 18, 2026