Belvidere Emergency Physicians, LLC in Belvidere, IL
This organization bills under NPI 1306543319, an organization record issued on Feb 9, 2023 with the primary taxonomy Emergency Medicine Physician. Each clinician who works there has their own NPI and license.
Organization recordNPPES, Aug 2026
1306543319
- Legal name
- Belvidere Emergency Physicians, LLC
- Entity
- Type 2 · organization
- Primary taxonomy
- Emergency Medicine Physician 207P00000X
- Practice location
- 1625 S STATE ST, Belvidere, IL 61008
- Phone
- 815-547-5441
- Mailing address
- Atlanta, GA
- Enumerated
- Feb 9, 2023
- Record updated
- Feb 9, 2023
- Authorized official
- Director Of Credentialing (title as filed)
20 clinicians CMS lists with Belvidere Emergency Physicians in Belvidere
- Tamathor Abughnaim, MDEmergency Medicine Physician1396239273
- Isra Al Jamed, MDEmergency Medical Services (Emergency Medicine) Physician1477059343
- Edward Bunney, MDEmergency Medicine Physician1447250543
- Mary Callis, MDFamily Medicine Physician1730334020
- Justin Chacko, MDEmergency Medicine Physician1750022992
- Irisha Clark, MDEmergency Medicine Physician1285217760
- Thaddeus Hawley, MDEmergency Medicine Physician1013657543
- Richard Herrmann, MDEmergency Medicine Physician1598052532
- Meredith Hill-Ciesielski, MDEmergency Medicine Physician1245527563
- Sarah Iqbal, MDEmergency Medicine Physician1922622679
- Patrick Klocek, DOEmergency Medicine Physician1528294089
- Jerome MartinEmergency Medicine Physician1437681970
- Michael Mccarty, MDEmergency Medicine Physician1528327012
- Amanda Miller, DOEmergency Medicine Physician1376704320
- Anthony Niezyniecki, MDEmergency Medicine Physician1104864842
- Richard Ruff, DOEmergency Medicine Physician1215954839
- Farhan Shahab, MDEmergency Medicine Physician1114549417
- Joseph Stock, MDEmergency Medical Services (Emergency Medicine) Physician1164462248
- Bailey Wentworth, MDEmergency Medicine Physician1932606084
- Jack Wu, MDEmergency Medicine Physician1154548089
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
Checking an organization
- Confirm the business with the Illinois secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
Common questions
Why is the mailing address in Georgia?
The mailing address in the record (Atlanta, GA) is where the organization receives mail. Care is given at the practice location in Belvidere.
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.