Organization provider

CHICAGO MEDICAL CLINIC LLC

Cardiovascular Disease Physician Internal Medicine Physician Medicare enrolled

CHICAGO MEDICAL CLINIC LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1154640571, based in Gurnee, IL. The organization lists 2 taxonomy classifications, with Cardiovascular Disease Physician recorded as primary.

Getting there

The practice address on file is 200 S GREENLEAF ST SUITE A, Gurnee, IL 60031. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

200 S GREENLEAF ST SUITE A, Gurnee, IL 60031 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
5092830950

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Cardiovascular Disease covers

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. NUCC Health Care Provider Taxonomy, code 207RC0000X
Allopathic & Osteopathic Physicians Internal Medicine Cardiovascular Disease

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207RC0000X Cardiovascular Disease Physician Cardiovascular Disease primary
207R00000X Internal Medicine Physician

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1154640571 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateMay 25, 2010
Last updatedJun 7, 2013
StatusActive
Practice address 200 S GREENLEAF ST
SUITE A
Gurnee, IL 60031
(847) 596-4521
This record was last updated on Jun 7, 2013, roughly 13 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1154640571 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 5 4 6 4 0 5 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 1 4 3 4 0 5 5

Sum = 49 · next multiple of 10 = 50 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1154640571?
NPI 1154640571 is the National Provider Identifier assigned to CHICAGO MEDICAL CLINIC LLC in Gurnee, IL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Cardiovascular Disease cover?
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
How do I contact CHICAGO MEDICAL CLINIC LLC?
The phone number on file with NPPES is (847) 596-4521, last updated Jun 7, 2013. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does CHICAGO MEDICAL CLINIC LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1154640571 a valid number?
Yes. 1154640571 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.