MEDICAL ASSOCIATES OF ELGIN LLC NPI 1558775502

NPI Information

  • NPI: 1558775502
  • Provider Name: MEDICAL ASSOCIATES OF ELGIN, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 14D1034813
  • Address: 1750 N RANDALL RD
    SUITE 110
    ELGIN, IL
    ZIP 60123
  • Phone: (224) 629-4525

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NPI Details

MEDICAL ASSOCIATES OF ELGIN, LLC is a family medicine in Elgin, 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. MEDICAL ASSOCIATES OF ELGIN, LLC NPI is 1558775502. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1750 N RANDALL RD
SUITE 110
ELGIN, IL
ZIP 60123-900
Phone: (224) 629-4525
Fax: (847) 719-0341

The provider's authorized official is Cindy A Holtz .
The authorized official title is Practice Manager and has the following contact phone number (224) 629-4525.

The CLIA number assigned to this NPI record is 14D1034813 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/18/2014 and was last updated on 10/17/2014.

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 Medicine36103130ILLINOISNo
2207Q00000XFamily Medicine036129040ILLINOISYes

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
1F100168829MEDICARE PINILLINOIS

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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