OrganizationActive
Elgin Primary Care
NPI 1104041136 · Internal Medicine Physician · South Elgin, IL
Provider details
- NPI number
- 1104041136
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tracy Rady, Billing(847) 429-0571
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1276 W Spring St
South Elgin, IL 60177-3304
Phone: (847) 468-1206
Street-level locationGet directions
Mailing address
1276 W Spring St
South Elgin, IL 60177-3304
Registry dates
- Enumerated
- 2007-04-16
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.