Healthcare Provider Details

I. General information

NPI: 1245386002
Provider Name (Legal Business Name): AFFILIATED HEALTH GROUP, LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 N ARLINGTON HEIGHTS RD
ARLINGTON HEIGHTS IL
60004-3985
US

IV. Provider business mailing address

PO BOX 957229
HOFFMAN ESTATES IL
60195-7229
US

V. Phone/Fax

Practice location:
  • Phone: 847-255-7400
  • Fax: 847-398-4585
Mailing address:
  • Phone: 847-255-7400
  • Fax: 847-398-4585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number StateIL
# 4
Primary TaxonomyY
Taxonomy Code208800000X
TaxonomyUrology Physician
License Number
License Number StateIL

VIII. Authorized Official

Name: TAMMY STERN
Title or Position: V.P.
Credential:
Phone: 847-255-7400