# HOSPITALIST PHYSICIANS MEDICAL GROUP OF ILLINOIS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144729864
- **Authorized official:** KATHLEEN KONDAS (OFFICER)
- **Authorized official phone:** (973) 251-1132

## Contact information

- **Practice address:** 4201 W MEDICAL CENTER DR, MCHENRY, IL 60050-8409
- **Practice address phone:** (815) 344-5000
- **Mailing address:** 13737 NOEL RD STE 1600, DALLAS, TX 75240-1374
- **Mailing address phone:** (954) 838-2371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/08/2018
- **Last updated:** 01/13/2021