GREAT LAKES EMERGENCY PHYSICIANS MEDICAL GROUP SC
NPI 1689212581
Emergency Medicine in Chicago, IL

Active since December 11, 2019
7531 S STONY ISLAND AVE, CHICAGO, IL 60649(773) 947-7500 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 21, 2020, Dec 11, 2019 (2 updates tracked since 2019).

About Great Lakes Emergency Physicians Medical Group Sc NPPES

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

GREAT LAKES EMERGENCY PHYSICIANS MEDICAL GROUP SC (NPI 1689212581) is a healthcare organization registered as an emergency medicine in Chicago, Illinois and active in the NPI registry since December 2019. The organization lists Steven Peter Maron, Md, as its authorized official.

NPPES Registry Identity

NPI1689212581
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameGREAT LAKES EMERGENCY PHYSICIANS MEDICAL GROUP SC
Location Address7531 S STONY ISLAND AVEChicago, IL 60649-3954
Mailing Address4535 Dressler Rd NwCanton, OH 44718-2545 · (844) 474-4019
Organization SubpartNo
Authorized OfficialSteven Peter MaronMd · (925) 225-5837
Enumeration DateDecember 11, 2019
Last NPPES UpdateNovember 30, 20232 updates tracked since enumeration
NPPES CertifiedNovember 30, 2023
✔ NPI 1689212581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
7531 S STONY ISLAND AVE, Chicago, IL 60649

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Great Lakes Emergency Physicians Medical Group Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

24

Medicare enrollment records show 24 clinicians reassign Medicare billing to Great Lakes Emergency Physicians Medical Group Sc, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 13 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Emergency Medicine10
Nurse Practitioner8
Family Practice3
Anesthesiology1
General Practice1
Pediatric Medicine1

Nearest to this location (20)

See all 24
Emergency Medicine
NPI 1265098206
7531 S STONY ISLAND AVE
Chicago, IL 60649
(773) 947-7500
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1437192242
1625 E 75TH ST FIRST FLOOR
Chicago, IL 60649
(773) 947-7500
✔ PECOSSame address
Family Practice
NPI 1235659335
621 E 67TH ST
Chicago, IL 60637
(708) 791-2444
✔ PECOS✔ Accepts Medicare1.6 mi
Emergency Medicine
NPI 1235143405
500 E 51ST ST
Chicago, IL 60615
(630) 248-3563
✔ PECOS✔ Accepts Medicare3.4 mi
Nurse Practitioner
NPI 1487135208
500 E 51ST ST
Chicago, IL 60615
(312) 572-1700
✔ PECOS✔ Accepts Medicare3.4 mi
Nurse Practitioner
NPI 1154820413
1444 W 74TH ST
Chicago, IL 60636
(773) 699-8573
✔ PECOS✔ Accepts Medicare3.9 mi
Nurse Practitioner
NPI 1730955105
45 W 111TH ST
Chicago, IL 60628
(773) 995-3000
✔ PECOS✔ Accepts Medicare4.9 mi
Emergency Medicine
NPI 1932121332
2701 W 68TH ST
Chicago, IL 60629
(773) 471-8000
✔ PECOS✔ Accepts Medicare5.5 mi
Emergency Medicine
NPI 1639124985
2701 W 68TH ST HOLY CROSS HOSPITAL, PHYSICIAN PAVILION, 3RD FLOOR
Chicago, IL 60629
(773) 884-7920
✔ PECOS✔ Accepts Medicare5.5 mi
Emergency Medicine
NPI 1821071374
2800 W 95TH ST
Evergreen Park, IL 60805
(708) 422-4221
✔ PECOS✔ Accepts Medicare6.1 mi
Nurse Practitioner
NPI 1396517496
2955 W 95TH ST
Evergreen Park, IL 60805
(708) 422-0022
✔ PECOS✔ Accepts Medicare6.3 mi
Nurse Practitioner
NPI 1033615158
2535 S. MARTIN LUTHER KING DR.
Chicago, IL 60616
(312) 842-7117
✔ PECOS6.3 mi
Emergency Medicine
NPI 1467452839
1501 S CALIFORNIA AVE
Chicago, IL 60608
(773) 257-6843
✔ PECOS9.0 mi
General Practice
NPI 1437361722
1 INGALLS DR
Harvey, IL 60426
(708) 332-2300
✔ PECOS✔ Accepts Medicare11 mi
Emergency Medicine
NPI 1245468123
1044 N FRANCISCO AVE
Chicago, IL 60622
(773) 292-8200
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1962882456
17800 KEDZIE AVE
Hazel Crest, IL 60429
(708) 799-8000
✔ PECOS✔ Accepts Medicare14 mi
Family Practice
NPI 1376656975
2906 W PETERSON AVE
Chicago, IL 60659
(773) 754-0088
✔ PECOS✔ Accepts Medicare17 mi
Nurse Practitioner
NPI 1134766132
600 HOLIDAY PLAZA DR STE 501
Matteson, IL 60443
(312) 437-1023
✔ PECOS✔ Accepts Medicare19 mi
Nurse Practitioner
NPI 1477229334
2548 CRYSTAL CT APT 2
Woodridge, IL 60517
(630) 956-6493
✔ PECOS✔ Accepts Medicare24 mi
Emergency Medicine
NPI 1477578920
16221 W 159TH ST SUITE 101
Lockport, IL 60441
(815) 588-1111
✔ PECOS✔ Accepts Medicare25 mi
See all 24 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Great Lakes Emergency Physicians Medical Group Sc's NPI number?

The NPI number for Great Lakes Emergency Physicians Medical Group Sc is 1689212581. It was assigned to this organization in the NPPES registry on December 11, 2019.

Where is Great Lakes Emergency Physicians Medical Group Sc located?

Great Lakes Emergency Physicians Medical Group Sc is located at 7531 S Stony Island Ave, Chicago, IL 60649. The listed phone number is (773) 947-7500.

What is Great Lakes Emergency Physicians Medical Group Sc's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Great Lakes Emergency Physicians Medical Group Sc enrolled in Medicare?

Yes. Great Lakes Emergency Physicians Medical Group Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Great Lakes Emergency Physicians Medical Group Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 24 clinicians in 6 Medicare specialties reassign their Medicare billing to Great Lakes Emergency Physicians Medical Group Sc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (10), Nurse Practitioner (8) and Family Practice (3). Of these, 2 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Great Lakes Emergency Physicians Medical Group Sc was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.