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PROCARE MEDICAL GROUP LLC NPI 1407308752


NPI Information

NPI: 1407308752
Provider Name: PROCARE MEDICAL GROUP LLC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 14D2127679

Address:
3000 DUNDEE RD
SUITE 311
NORTHBROOK, IL
ZIP 60062
Phone: (847) 383-6224
Get Directions

PROCARE MEDICAL GROUP LLC is a general practice in Northbrook, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee PROCARE MEDICAL GROUP LLC NPI is 1407308752. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

3000 DUNDEE RD
SUITE 311
NORTHBROOK, IL
ZIP 60062-422
Phone: (847) 383-6224

The provider's authorized official is Alexander Green .
The authorized official title is General Manager and has the following contact phone number (847) 494-0127.

The CLIA number assigned to this NPI record is 14D2127679 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/2/2016 and was last updated on 11/2/2016.


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
1207Q00000XFamily MedicineNo
2208D00000XGeneral PracticeYes

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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