Claymore Medical Group SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CLAYMORE MEDICAL GROUP SC

Practice address

1170 E Belvidere Rd
Suite 207
Grayslake, IL 60030-2061

Phone

(847) 223-4446

Fax

(847) 223-4944

NPI assigned

Oct 21, 2005

Organization subpart

No

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

Authorized official

Name

John S Leventis, MD

Title

President

Phone

(847) 223-4446

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Philippa M Devenney, M.D.

  • Internal Medicine Physician
  • Dixon, IL
  • NPI 1518189083
  NPD (past)

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255320271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 E BELVIDERE RD",
            "address_2": "SUITE 207",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302061",
            "telephone_number": "847-223-4446",
            "fax_number": "847-223-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 E BELVIDERE RD",
            "address_2": "SUITE 207",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302061",
            "telephone_number": "847-223-4446",
            "fax_number": "847-223-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAYMORE MEDICAL GROUP SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVENTIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-223-4446",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belkis Cirar
• Citywide Smiles, P.C.
• Theresa Clanton, LCPC
• Angelita Clark, LCSW
• Richard R. Clark, M.D.
• Clear Sky Counseling Services PLLC
• Deborah S Clements, M.D.
• Wesley Clevenger, PH.D.
• Clinicians Clinics of America LLC
• Nikita Valentyna Coad, LSW

• Internal Medicine Physician in Grayslake, IL
• Providers in Grayslake, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.