ENVOGUE MED & WELLNESS PLLC NPI 1881319911

NPI Information

NPI: 1881319911
Provider Name: ENVOGUE MED & WELLNESS, PLLC

Other Name: ENVOGUE MED & WELLNESS

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1701 E WOODFIELD RD STE 215
SCHAUMBURG, IL
ZIP 60173
Phone: (847) 916-0673
Get Directions

ENVOGUE MED & WELLNESS, PLLC is a multi-specialty clinic center in Schaumburg, IL. ENVOGUE MED & WELLNESS, PLLC NPI is 1881319911. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Envogue Med & Wellness.

The provider's business location address is:

1701 E WOODFIELD RD STE 215
SCHAUMBURG, IL
ZIP 60173-127
Phone: (847) 916-0673
Fax: (847) 787-9084

The provider's authorized official is Sandra Madrid Valino Stock .
The authorized official title is Owner/physician and has the following contact phone number (630) 670-7279.

The CLIA number assigned to this NPI record is 14D2269556 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2022 and was last updated on 2/17/2023.

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	207Q00000X	Family Medicine				No
2	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »