MEDOVATE LLC NPI 1053816835

NPI Information

NPI: 1053816835
Provider Name: MEDOVATE LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 14D2238939

Address:
1450 BUSCH PKWY STE 145
BUFFALO GROVE, IL
ZIP 60089
Phone: (847) 499-5500
Get Directions

MEDOVATE LLC is a multi-specialty clinic center in Buffalo Grove, IL. MEDOVATE LLC NPI is 1053816835. The provider is registered as an organization entity type.

The provider's business location address is:

1450 BUSCH PKWY STE 145
BUFFALO GROVE, IL
ZIP 60089-541
Phone: (847) 499-5500

The provider's authorized official is David Mann .
The authorized official title is Owner and has the following contact phone number (847) 530-1215.

The CLIA number assigned to this NPI record is 14D2238939 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/26/2018 and was last updated on 10/27/2022.

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	261QM1300X	Clinic/Center	Multi-Specialty		ILLINOIS	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

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