IMPACT PHYSICIAN GROUP, ILLINOIS LLC
NPI 1467920124
Internal Medicine in Plano, IL

Active since November 10, 2018
115 E SOUTH ST STE F, PLANO, IL 60545(630) 552-7166 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2022, Dec 31, 2019, Nov 10, 2018 (3 updates tracked since 2018).

About Impact Physician Group, Illinois Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMPACT PHYSICIAN GROUP, ILLINOIS LLC (NPI 1467920124) is a healthcare organization registered as an internal medicine in Plano, Illinois and active in the NPI registry since November 2018. The organization lists Paul Miller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467920124
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameIMPACT PHYSICIAN GROUP, ILLINOIS LLC
Location Address115 E SOUTH ST STE FPlano, IL 60545-1595
Mailing Address21 Eastbrook Bnd Ste 218Peachtree City, GA 30269-1546 · (678) 967-5599
Organization SubpartNo
Authorized OfficialPaul MillerCeo · (678) 967-5599
Enumeration DateNovember 10, 2018
Last NPPES UpdateDecember 19, 20223 updates tracked since enumeration
NPPES CertifiedDecember 19, 2022
NPI 1467920124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
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.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
115 E SOUTH ST STE F, Plano, IL 60545

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
115 E SOUTH ST STE F
PLANO, IL 60545
Nurse Practitioner (Family)
115 E SOUTH ST STE F
PLANO, IL 60545

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Impact Physician Group, Illinois LLC's NPI number?

The NPI number for Impact Physician Group, Illinois LLC is 1467920124. It was assigned to this organization in the NPPES registry on November 10, 2018.

Where is Impact Physician Group, Illinois LLC located?

Impact Physician Group, Illinois LLC is located at 115 E South St Ste F, Plano, IL 60545. The listed phone number is (630) 552-7166.

What is Impact Physician Group, Illinois LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Impact Physician Group, Illinois LLC was last updated on December 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.