MEADOWS MEDICAL GROUP LTD NPI 1144347352

NPI Information

  • NPI: 1144347352
  • Provider Name: MEADOWS MEDICAL GROUP, LTD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 1170 E BELVIDERE RD
    SUITE 209
    GRAYSLAKE, IL
    ZIP 60030
  • Phone: (847) 231-6026

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NPI Details

MEADOWS MEDICAL GROUP, LTD is a family medicine in Grayslake, 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. MEADOWS MEDICAL GROUP, LTD NPI is 1144347352. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1170 E BELVIDERE RD
SUITE 209
GRAYSLAKE, IL
ZIP 60030-034
Phone: (847) 231-6026
Fax: (847) 231-6029

The provider's authorized official is Vina M Maniquis .
The authorized official title is Doctor and has the following contact phone number (847) 231-6026.

The enumeration date for this NPI number is 3/23/2007 and was last updated on 4/22/2008.

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 Medicine042618432ILLINOISYes

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
14932372OTHERILLINOISBLUE CROSS BLUE SHIELD
2211915MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE PART B

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: 3/30/2025

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