Provider Demographics
NPI:1932115300
Name:MADELEINE NEEMS, M.D. LLC
Entity Type:Organization
Organization Name:MADELEINE NEEMS, M.D. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MADELEINE
Authorized Official - Middle Name:
Authorized Official - Last Name:NEEMS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-433-1800
Mailing Address - Street 1:1770 FIRST STREET
Mailing Address - Street 2:SUITE 300
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035
Mailing Address - Country:US
Mailing Address - Phone:847-433-1800
Mailing Address - Fax:847-433-0022
Practice Address - Street 1:1770 FIRST STREET
Practice Address - Street 2:SUITE 300
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035
Practice Address - Country:US
Practice Address - Phone:847-433-1800
Practice Address - Fax:847-433-0022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL209374Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER