Provider Demographics
NPI:1396003737
Name:APOLLO HOSPITALIST GROUP LLC
Entity Type:Organization
Organization Name:APOLLO HOSPITALIST GROUP LLC
Other - Org Name:APOLLO HOSPITALIST GROUP LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROVIDER & MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJEEV
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPOOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:847-847-1393
Mailing Address - Street 1:25 TELSER RD #1057
Mailing Address - Street 2:
Mailing Address - City:LAKE ZURICH
Mailing Address - State:IL
Mailing Address - Zip Code:60047-3647
Mailing Address - Country:US
Mailing Address - Phone:847-847-1393
Mailing Address - Fax:
Practice Address - Street 1:25 TELSER RD #1057
Practice Address - Street 2:
Practice Address - City:LAKE ZURICH
Practice Address - State:IL
Practice Address - Zip Code:60047-3647
Practice Address - Country:US
Practice Address - Phone:847-847-1393
Practice Address - Fax:224-649-5303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-23
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty