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MEDICAL CARE CENTER OF LAKE VILLA
NPI 1811102353
Internal Medicine in Lake Villa, IL

Active since May 10, 2007
213 S MILWAUKEE AVE, LAKE VILLA, IL 60046(847) 356-9009 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Medical Care Center Of Lake Villa NPPES

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

MEDICAL CARE CENTER OF LAKE VILLA (NPI 1811102353) is a healthcare organization registered as an internal medicine in Lake Villa, Illinois and active in the NPI registry since May 2007. The organization lists Mohamed E Nasr, Physician And Surgeon, as its authorized official.

NPPES Registry Identity

NPI1811102353
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMEDICAL CARE CENTER OF LAKE VILLA
Location Address213 S MILWAUKEE AVELake Villa, IL 60046-8551
Mailing Address213 S Milwaukee AveLake Villa, IL 60046-8551 · (847) 356-9009
Phone(847) 356-9009
Organization SubpartNo
Authorized OfficialMohamed E NasrPhysician And Surgeon · (847) 356-9009
Enumeration DateMay 10, 2007
Last NPPES UpdateJune 21, 2018
✔ NPI 1811102353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IL · 036047948✔ Licensed in IL · 036058768✔ Licensed in IL · 036082737
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 ListedFamily MedicineTaxonomy 207Q00000X · License 036058768 (IL), 036082737 (IL), 036047948 (IL)
Also ListedPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineTaxonomy 2083P0500X · License 036058768 (IL)
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License 036058768 (IL)
Also ListedSurgeryTaxonomy 208600000X · License 036058768 (IL), 036047948 (IL)
Also ListedGeneral PracticeTaxonomy 208D00000X · License 036058768 (IL), 036082737 (IL), 036047948 (IL)
213 S MILWAUKEE AVE, Lake Villa, IL 60046
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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 MULTIPLE 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)

Medical Care Center Of Lake Villa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Medical Care Center Of Lake Villa, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Moiz Suhail, MD
Family Practice
NPI 1255825543
885 ROOSEVELT RD STE 100
Glen Ellyn, IL 60137
(630) 384-6200
✔ PECOS✔ Accepts Medicare38 mi
Irma Melgar
Nurse Practitioner
NPI 1013742493
2003 W FULTON ST # 3030
Chicago, IL 60612
(312) 243-2223
✔ PECOS✔ Accepts Medicare41 mi
Samuel Grief, M.D.
Family Practice
NPI 1821101007
1740 W TAYLOR ST
Chicago, IL 60612
(866) 600-2273
✔ PECOS✔ Accepts Medicare43 mi

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 Medical Care Center Of Lake Villa's NPI number?

The NPI number for Medical Care Center Of Lake Villa is 1811102353. It was assigned to this organization in the NPPES registry on May 10, 2007.

Where is Medical Care Center Of Lake Villa located?

Medical Care Center Of Lake Villa is located at 213 S Milwaukee Ave, Lake Villa, IL 60046. The listed phone number is (847) 356-9009.

What is Medical Care Center Of Lake Villa's specialty?

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

Is Medical Care Center Of Lake Villa enrolled in Medicare?

Yes. Medical Care Center Of Lake Villa is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Medical Care Center Of Lake Villa?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Medical Care Center Of Lake Villa, in Family Practice and Nurse Practitioner. 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 Medical Care Center Of Lake Villa was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.