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DANGREMOND & JAHARIS LLC NPI 1487874988


NPI Information

NPI: 1487874988
Provider Name: DANGREMOND & JAHARIS LLC

Doing Business As: WINNETKA FAMILY MEDICINE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 14D0996327

Address:
750 GREEN BAY RD
WINNETKA, IL
ZIP 60093
Phone: (847) 446-0202
Get Directions

DANGREMOND & JAHARIS LLC is a family medicine in Winnetka, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DANGREMOND & JAHARIS LLC NPI is 1487874988. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Winnetka Family Medicine.

The provider's business location address is:

750 GREEN BAY RD
WINNETKA, IL
ZIP 60093
Phone: (847) 446-0202
Fax: (847) 446-0208

The provider's authorized official is Irina V Borisova .
The authorized official title is Billing Mngr and has the following contact phone number (847) 446-0202.

The CLIA number assigned to this NPI record is 14D0996327 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/26/2007 and was last updated on 3/4/2011.


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
1207Q00000XFamily Medicine036078117ILLINOISNo
2207Q00000XFamily Medicine036073154ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200840MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

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

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