MAINSTAY CLINICS INC (NPI# 1053816405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053816405 |
Entity Type | Organization |
Organization Name | MAINSTAY CLINICS INC |
Practice Address |
109 N Seymour Ave Mundelein IL 60060-2318 |
Mailing Address |
17942 W Pond Ridge Cir Gurnee IL 60031-4534 |
Practice Telephone | 2243034138 |
Mailing Telephone | 2243034138 |
Enumeration Date | 2018-03-28 |
Last Update Date | 2018-04-06 |
Authorized Official Name | ALEXANDER JAROSZ (TREASURER) |
Authorized Official Telephone | 2247170447 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 338829946001 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
408 N Seymour Ave, Mundelein, IL 600601835 | 2243034138 |
Street Address |
109 N SEYMOUR AVE |
City | MUNDELEIN |
State | IL |
Zip Code | 60060-2318 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134622053 | Mainstay Clinics, Inc. | Nurse Practitioner | 109 N Seymour Ave, Mundelein, IL 60060-2318 | 2018-03-16 |
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1649656430 | Saze Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26247 N. Maple Ave, Mundelein, IL 60060 | 2015-08-04 |
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Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801042494 | Family Health Prevention & Care Center, Inc. | Clinic/Center | 333 E Il Route 83, Suite 106, Mundelein, IL 60060-4214 | 2008-08-14 |
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1497251037 | Thomas L Pitts, Md LLC | Clinic/Center | 233 E Erie St Ste 702, Chicago, IL 60611-5933 | 2018-04-03 |
1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.