YOUR MEDICOS SC NPI 1639482235

NPI Information

NPI: 1639482235
Provider Name: YOUR MEDICOS SC
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Address: 1300 BUSCH PKWY
BUFFALO GROVE, IL
ZIP 60089
Phone: (847) 850-5882

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NPI Details

YOUR MEDICOS SC is a primary care clinic center in Buffalo Grove, IL. YOUR MEDICOS SC NPI is 1639482235. The provider is registered as an organization entity type.

The provider's business location address is:

1300 BUSCH PKWY
BUFFALO GROVE, IL
ZIP 60089-505
Phone: (847) 850-5882
Fax: (847) 850-5892

The provider's authorized official is Nikita Tavkar .
The authorized official title is Manager and has the following contact phone number (847) 850-5882.

The enumeration date for this NPI number is 7/23/2010 and was last updated on 4/3/2015.

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
1	261QM1300X	Clinic/Center	Multi-Specialty	036074991	ILLINOIS	No
2	261QP2000X	Clinic/Center	Physical Therapy	036074991	ILLINOIS	No
3	261QA1903X	Clinic/Center	Ambulatory Surgical	036074991	ILLINOIS	No
4	111N00000X	Chiropractor		038010683	ILLINOIS	No
5	261QP2300X	Clinic/Center	Primary Care	036074991	ILLINOIS	Yes

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
1	IL4830	MEDICARE PIN	ILLINOIS

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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