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NORTH SUBURBAN FAMILY MEDICINE LTD NPI 1104195809


NPI Information

NPI: 1104195809
Provider Name: NORTH SUBURBAN FAMILY MEDICINE LTD
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 14D2035477

Address:
150 N RIVER RD
SUITE 310
DES PLAINES, IL
ZIP 60016
Phone: (847) 795-0900
Get Directions

NORTH SUBURBAN FAMILY MEDICINE LTD is a family medicine in Des Plaines, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NORTH SUBURBAN FAMILY MEDICINE LTD NPI is 1104195809. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

150 N RIVER RD
SUITE 310
DES PLAINES, IL
ZIP 60016-272
Phone: (847) 795-0900
Fax: (847) 795-0955

The provider's authorized official is Beth Holly Samuelsohn .
The authorized official title is President and has the following contact phone number (847) 795-0900.

The CLIA number assigned to this NPI record is 14D2035477 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/26/2011 and was last updated on 4/26/2019.


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
1207Q00000XFamily Medicine042-619911ILLINOISYes

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

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