MISKELL MEDICAL LLC NPI 1750756979

NPI Information

  • NPI: 1750756979
  • Provider Name: MISKELL MEDICAL LLC
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • CLIA Number: 14D2107071
  • Address: 218 W MADISON ST
    OTTAWA, IL
    ZIP 61350
  • Phone: (815) 431-1122

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NPI Details

MISKELL MEDICAL LLC is a health service clinic center in Ottawa, IL. MISKELL MEDICAL LLC NPI is 1750756979. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

218 W MADISON ST
OTTAWA, IL
ZIP 61350-819
Phone: (815) 431-1122
Fax: (815) 431-0318

The provider's authorized official is Jessica Miskell .
The authorized official title is Owner/provider and has the following contact phone number (815) 431-1122.

The CLIA number assigned to this NPI record is 14D2107071 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2015 and was last updated on 2/4/2021.

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
1363LF0000XNurse PractitionerFamilyNo
2261QH0100XClinic/CenterHealth Service209009286ILLINOISYes

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
11710256631OTHERILLINOISINDIVIDUAL NPI

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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