FIRST DIAGNOSTIC CONSULTANTS PC NPI 1689908659

NPI Information

  • NPI: 1689908659
  • Provider Name: FIRST DIAGNOSTIC CONSULTANTS PC
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Organization
  • Address: 810 PRAIRIE LN
    BUFFALO GROVE, IL
    ZIP 60089
  • Phone: (847) 456-3018

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NPI Details

FIRST DIAGNOSTIC CONSULTANTS PC is a surgical physician assistant in Buffalo Grove, IL. FIRST DIAGNOSTIC CONSULTANTS PC NPI is 1689908659. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

810 PRAIRIE LN
BUFFALO GROVE, IL
ZIP 60089-561
Phone: (847) 456-3018
Fax: (847) 537-5544

The provider's authorized official is Sergey Efim Glikin .
The authorized official title is President and has the following contact phone number (847) 456-3018.

The enumeration date for this NPI number is 9/23/2009 and was last updated on 9/23/2009.

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
1363AS0400XPhysician AssistantSurgical238.000103ILLINOISYes

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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