EMPLOYEE HEALTH ADVOCATE LTD NPI 1639128200

NPI Information

NPI: 1639128200
Provider Name: EMPLOYEE HEALTH ADVOCATE LTD
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
26241 W BONNER RD
WAUCONDA, IL
ZIP 60084
Phone: (847) 358-7468
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EMPLOYEE HEALTH ADVOCATE LTD is a community health clinic center in Wauconda, IL. EMPLOYEE HEALTH ADVOCATE LTD NPI is 1639128200. The provider is registered as an organization entity type.

The provider's business location address is:

26241 W BONNER RD
WAUCONDA, IL
ZIP 60084-211
Phone: (847) 358-7468
Fax: (847) 358-2808

The provider's authorized official is Rasheed Soofi .
The authorized official title is Ceo and has the following contact phone number (847) 358-7468.

The enumeration date for this NPI number is 5/9/2006 and was last updated on 3/21/2008.

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	261QC1500X	Clinic/Center	Community Health		ILLINOIS	Yes

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
1	109720	MEDICARE PIN	ARIZONA
2	712108	MEDICARE PIN	NORTH DAKOTA
3	FLU0296	MEDICARE PIN	KENTUCKY
4	130666	MEDICARE PIN	KANSAS
5	247340	MEDICARE PIN	INDIANA
6	8860782	MEDICARE PIN	WASHINGTON
7	FV94661	MEDICARE PIN	OHIO
8	1923634	MEDICARE PIN	PENNSYLVANIA
9	R135167	MEDICARE PIN	OREGON
10	3914414	MEDICARE PIN	TENNESSEE
11	20820	MEDICARE PIN	WYOMING

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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