Organization Active NPI

Preventive Ind LLC

  • Primary Care Clinic/Center
  • Highland, IN
National Provider Identifier
1235000308
Registry record updated Sep 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PREVENTIVE IND LLC
Practice address
10011 Kennedy Ave Apt 23
Highland, IN 46322-3441
Phone
(630) 297-0520
NPI assigned
Sep 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2025

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

Authorized official

Name
Faisal Khan
Title
Director
Phone
(630) 297-0520

Specialties & licenses 1

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

Addresses

Primary practice location

10011 Kennedy Ave Apt 23
Highland, IN 46322-3441

Mailing address

4355 Weaver Pkwy Ste 320
Warrenville, IL 60555-4052
Phone (630) 297-0520

National Provider Directory

National Provider Directory

Locations

4355 Weaver Pkwy
Ste 320
Warrenville, IL 60555
Phone (630) 327-9065

NPI Registry JSON

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

{
    "created_epoch": "1757721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757721600000",
    "number": "1235000308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 WEAVER PKWY STE 320",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605554052",
            "telephone_number": "630-297-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10011 KENNEDY AVE APT 23",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463223441",
            "telephone_number": "630-297-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE IND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-13",
        "last_updated": "2025-09-13",
        "certification_date": "2025-09-13",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FAISAL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "630-297-0520"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2025; 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.