OMNI PRIMARY CARE AND AESTHETIC MEDICINE SC
OMNI PRIMARY CARE AND AESTHETIC MEDICINE SC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1699025239, based in Lincolnwood, IL. The organization lists 2 taxonomy classifications, with Adolescent Medicine (Family Medicine) Physician recorded as primary.
Getting there
The practice address on file is 6501 N LINCOLN AVE, Lincolnwood, IL 60712. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 036122637 | IL | Adolescent Medicine (Family Medicine)… primary |
This provider holds licence 036122637 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 0547693509
- Enrollment ID
- O20191204002420
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Adolescent Medicine covers
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. NUCC Health Care Provider Taxonomy, code 207QA0000X
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.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician Adolescent Medicine | 036122637 | IL | primary |
| 208000000X | Pediatrics 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.
| NPI | 1699025239 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Sep 11, 2012 |
| Last updated | Nov 7, 2024 |
| Status | Active |
| Practice address |
6501 N LINCOLN AVE Lincolnwood, IL 60712 (847) 242-1001 Fax (847) 739-7219 |
| Other identifiers |
036122637
· Medicaid (IL) |
Number check
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 | 6 | 9 | 9 | 0 | 2 | 5 | 2 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 6 | 9 | 9 | 0 | 2 | 1 | 2 | 6 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
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.