CALIFORNIA DEVON MEDICAL CENTER NPI 1639375637

NPI Information

  • NPI: 1639375637
  • Provider Name: CALIFORNIA DEVON MEDICAL CENTER
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Doing Business As: HEALTHY TRUST IMMEDIATE MEDICAL CENTER
  • Address: 342 SOUTH MILWAUKEE AVE.
    WHEELING, IL
    ZIP 60090
  • Phone: (847) 520-8909

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NPI Details

CALIFORNIA DEVON MEDICAL CENTER is a general practice in Wheeling, 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 CALIFORNIA DEVON MEDICAL CENTER NPI is 1639375637. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Healthy Trust Immediate Medical Center.

The provider's business location address is:

342 SOUTH MILWAUKEE AVE.
WHEELING, IL
ZIP 60090
Phone: (847) 520-8909
Fax: (847) 520-8929

The provider's authorized official is Boris Gurevich .
The authorized official title is Medical Director and has the following contact phone number (847) 520-8909.

The enumeration date for this NPI number is 6/26/2007 and was last updated on 10/2/2007.

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
1111N00000XChiropractorILLINOISNo
2207Q00000XFamily MedicineILLINOISNo
3207R00000XInternal MedicineILLINOISNo
4207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismILLINOISNo
52081P2900XPhysical Medicine & RehabilitationPain MedicineILLINOISNo
6207Q00000XFamily MedicineILLINOISNo
7208D00000XGeneral PracticeILLINOISYes

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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