ATKINSON CLINIC SC NPI 1437169646

NPI Information

  • NPI: 1437169646
  • Provider Name: ATKINSON CLINIC SC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 14D0989751
  • Address: 100 N ATKINSON RD STE 207
    GRAYSLAKE, IL
    ZIP 60030
  • Phone: (847) 548-9777

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NPI Details

ATKINSON CLINIC SC is an internal medicine in Grayslake, IL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ATKINSON CLINIC SC NPI is 1437169646. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 N ATKINSON RD STE 207
GRAYSLAKE, IL
ZIP 60030-804
Phone: (847) 548-9777
Fax: (847) 548-9797

The provider's authorized official is Sergei Shevlyagin .
The authorized official title is Owner and has the following contact phone number (847) 548-9777.

The CLIA number assigned to this NPI record is 14D0989751 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 8/21/2012.

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
1207R00000XInternal Medicine036978646ILLINOISYes

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
1036978646MEDICAIDILLINOIS
24927894OTHERILLINOISBLUE CROSS/SHIELD
3709990MEDICARE PINILLINOIS
4110224169OTHERILLINOISRAIL ROAD MEDICARE

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: 11/21/2025

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