GREENLEAF MEDICAL ASSOCIATES S.C. NPI 1447310479

NPI Information

  • NPI: 1447310479
  • Provider Name: GREENLEAF MEDICAL ASSOCIATES S.C.
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 14D0864861
  • Address: 401 GREENLEAF AVE
    1
    PARK CITY, IL
    ZIP 60085
  • Phone: (847) 662-0978

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NPI Details

GREENLEAF MEDICAL ASSOCIATES S.C. is an internal medicine in Park City, IL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. GREENLEAF MEDICAL ASSOCIATES S.C. NPI is 1447310479. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

401 GREENLEAF AVE
1
PARK CITY, IL
ZIP 60085-744
Phone: (847) 662-0978
Fax: (847) 662-1395

The provider's authorized official is Joe Anthony .
The authorized official title is Administrator and has the following contact phone number (847) 662-0977.

The CLIA number assigned to this NPI record is 14D0864861 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 12/19/2024.

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
1207R00000XInternal MedicineILLINOISYes

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: 3/30/2025

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