Provider Demographics
NPI:1740705334
Name:NEXT GENERATION MD OF SOUTH ELGIN INC.
Entity type:Organization
Organization Name:NEXT GENERATION MD OF SOUTH ELGIN INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHENING
Authorized Official - Suffix:
Authorized Official - Credentials:D C
Authorized Official - Phone:847-717-3400
Mailing Address - Street 1:101 S MCLEAN BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:SOUTH ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60177-1830
Mailing Address - Country:US
Mailing Address - Phone:847-717-3400
Mailing Address - Fax:847-255-7945
Practice Address - Street 1:101 S MCLEAN BLVD STE C
Practice Address - Street 2:
Practice Address - City:SOUTH ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60177-1830
Practice Address - Country:US
Practice Address - Phone:847-717-3400
Practice Address - Fax:847-255-7945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-04
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty