PRACTICE MANAGEMENT SOLUTIONS LLC NPI 1063871390

NPI Information

NPI: 1063871390
Provider Name: PRACTICE MANAGEMENT SOLUTIONS LLC
Classification: Physician Assistant - 363AM0700X
Entity Type: Organization

Specialization: Medical

Address:
6119 NORTHWEST HWY
SUITE B
CRYSTAL LAKE, IL
ZIP 60014
Phone: (815) 477-8844
Get Directions

PRACTICE MANAGEMENT SOLUTIONS LLC is a medical physician assistant in Crystal Lake, IL. PRACTICE MANAGEMENT SOLUTIONS LLC NPI is 1063871390. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6119 NORTHWEST HWY
SUITE B
CRYSTAL LAKE, IL
ZIP 60014-911
Phone: (815) 477-8844
Fax: (815) 308-3387

The provider's authorized official is Jill Elizabeth Howe .
The authorized official title is Owner and has the following contact phone number (815) 477-8844.

The enumeration date for this NPI number is 2/15/2016 and was last updated on 2/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111NR0400X	Chiropractor	Rehabilitation	038.008097	ILLINOIS	No
2	111NR0400X	Chiropractor	Rehabilitation	038.006954	ILLINOIS	No
3	111NR0400X	Chiropractor	Rehabilitation	038.009872	ILLINOIS	No
4	363AM0700X	Physician Assistant	Medical	085.004468	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F400270913	MEDICARE PIN	ILLINOIS
2	IL5317006	MEDICARE PIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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