Organization Active NPI

Mainstay Clinics Inc

  • Primary Care Clinic/Center
  • Libertyville, IL
National Provider Identifier
1053816405
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MAINSTAY CLINICS INC
Practice address
333 Peterson Rd Ste 240
Libertyville, IL 60048-1085
Phone
(224) 864-2124
Fax
(224) 246-8125
NPI assigned
Mar 28, 2018
Last updated
Apr 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Alexander Jarosz
Title
Treasurer
Phone
(224) 717-0447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

333 Peterson Rd Ste 240
Libertyville, IL 60048-1085

Mailing address

17942 W Pond Ridge Cir
Gurnee, IL 60031-4534
Phone (224) 303-4138

Other practice location 1

408 N Seymour Ave
Mundelein, IL 60060-1835
Phone (224) 303-4138

Other identifiers 1

IdentifierTypeStateIssuer
338829946001MedicaidIL

National Provider Directory

National Provider Directory

Locations

109 N Seymour Ave
Mundelein, IL 60060
Phone (224) 223-5229

408 N Seymour Ave
Mundelein, IL 60060
Phone (224) 303-4138

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775174400000",
    "number": "1053816405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17942 W POND RIDGE CIR",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600314534",
            "telephone_number": "224-303-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 PETERSON RD STE 240",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481085",
            "telephone_number": "224-864-2124",
            "fax_number": "224-246-8125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 N Seymour Ave",
            "address_purpose": "LOCATION",
            "city": "Mundelein",
            "state": "IL",
            "postal_code": "600601835",
            "country_code": "US",
            "telephone_number": "224-303-4138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAINSTAY CLINICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A",
        "authorized_official_last_name": "JAROSZ",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "224-717-0447"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "338829946001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.