THE CENTER FOR INTERNAL MEDICINE AND PREVENTIVE CARE S C
NPI 1770770919
Internal Medicine in Gurnee, IL

Q: What is The Center For Internal Medicine And Preventive Care S C's specialty?

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

Active since October 02, 2007

501 N RIVERSIDE DR, SUITE 216, GURNEE, IL 60031(847) 625-8300(847) 625-8862 Get Directions Write a Review

NPPES record last updated: December 21, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 21, 2024, Jul 17, 2024 (2 updates tracked since 2024).

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About The Center For Internal Medicine And Preventive Care S C NPPES

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

THE CENTER FOR INTERNAL MEDICINE AND PREVENTIVE CARE S C (NPI 1770770919) is a healthcare organization registered as an internal medicine in Gurnee, Illinois and active in the NPI registry since October 2007. The organization lists Paul Tack, President, as its authorized official.

NPPES Registry Identity

NPI1770770919

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameTHE CENTER FOR INTERNAL MEDICINE AND PREVENTIVE CARE S C

Location Address501 N RIVERSIDE DR, SUITE 216Gurnee, IL 60031-5918

Mailing Address501 N Riverside Dr Ste 216Gurnee, IL 60031-5918 · (847) 625-8300 · Fax (847) 625-8862

Phone(847) 625-8300

Fax(847) 625-8862

Organization SubpartNo

Authorized OfficialPaul TackPresident · (847) 814-2728

Enumeration DateOctober 2, 2007

Last NPPES UpdateDecember 21, 20242 updates tracked since enumeration

NPPES CertifiedDecember 19, 2024

✔ NPI 1770770919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 036097015

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.

501 N RIVERSIDE DR, Gurnee, IL 60031

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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 SINGLE 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)

The Center For Internal Medicine And Preventive Care S C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to The Center For Internal Medicine And Preventive Care S C, which bills Medicare for the services this clinician delivers.

Clinician (1)

Paul Tack, M.D.

Internal Medicine

NPI 1265446017

501 N RIVERSIDE DR SUITE 102
Gurnee, IL 60031

(847) 625-8300

✔ PECOS✔ Accepts MedicareSame address

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 The Center For Internal Medicine And Preventive Care S C's NPI number?

The NPI number for The Center For Internal Medicine And Preventive Care S C is 1770770919. It was assigned to this organization in the NPPES registry on October 2, 2007.

Where is The Center For Internal Medicine And Preventive Care S C located?

The Center For Internal Medicine And Preventive Care S C is located at 501 N Riverside Dr Suite 216, Gurnee, IL 60031. The listed phone number is (847) 625-8300.

What is The Center For Internal Medicine And Preventive Care S C's specialty?

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

Is The Center For Internal Medicine And Preventive Care S C enrolled in Medicare?

Yes. The Center For Internal Medicine And Preventive Care S C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Center For Internal Medicine And Preventive Care S C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to The Center For Internal Medicine And Preventive Care S C. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for The Center For Internal Medicine And Preventive Care S C was last updated on December 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.