Minuteclinic Diagnostic of Illinois PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MINUTECLINIC DIAGNOSTIC OF ILLINOIS PLLC

Practice address

11200 W Lincoln Hwy
Mokena, IL 60448-8208

Phone

(866) 389-2727

Fax

(401) 406-3539

NPI assigned

Feb 17, 2007

Last updated

Jul 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deborah Jean Pincince

Title

Administrator

Phone

(401) 770-3813

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Minuteclinic Diag of Il LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Minuteclinic Diagnostic of Illinois PLLC

  • Clinical Social Worker
  • Oak Park, IL
  • NPI 1477211415
  NPD tax ID
• Minuteclinic Diagnostic of Illinois PLLC

  • Family Nurse Practitioner
  • Mokena, IL
  • NPI 1902545601
  NPD tax ID

Locations

Practitioners 225

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.

• Huda Amorah

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1407452923

  Family

  Medicare reassignment Care Compare group NPD
• Donna Anaski, FNP-BC

  • Family Nurse Practitioner
  • Crystal Lake, IL
  • NPI 1326590860
  Medicare reassignment Care Compare group NPD
• Theresa Andrews

  • Family Nurse Practitioner
  • Oak Park, IL
  • NPI 1518401090
  Medicare reassignment Care Compare group NPD
• Jocelyn S Arackal, FNP,

  • Nurse Practitioner
  • Glen Ellyn, IL
  • NPI 1861044588

  Family

  Medicare reassignment Care Compare group NPD
• Sylwia Monika Balaga, APRN

  • Family Nurse Practitioner
  • Naperville, IL
  • NPI 1821673534
  Medicare reassignment Care Compare group NPD
• Yvonne Batton, FNP-BC

  • Family Nurse Practitioner
  • Tinley Park, IL
  • NPI 1912592940
  Medicare reassignment Care Compare group NPD
• Kathleen M Bester, FNP

  • Family Nurse Practitioner
  • Mokena, IL
  • NPI 1750561817
  Medicare reassignment Care Compare group NPD
• Robyn Cassidy

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1386391936
  Medicare reassignment Care Compare group NPD
• Michael Catalan, APRN, FNP

  • Family Nurse Practitioner
  • Tinley Park, IL
  • NPI 1609573336
  Medicare reassignment Care Compare group NPD
• Jennifer S. Clements, APN/FNP-BC

  • Family Nurse Practitioner
  • Mokena, IL
  • NPI 1144527235
  Medicare reassignment Care Compare group NPD
• Kylee L. Crowther, APN

  • Family Nurse Practitioner
  • Mokena, IL
  • NPI 1598000747
  Medicare reassignment Care Compare group NPD
• Tracey Amber Dawson, APRN

  • Family Nurse Practitioner
  • Tinley Park, IL
  • NPI 1174330518
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1356485809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CVS DR",
            "address_2": "MINUTECLINIC MC-2295",
            "city": "WOONSOCKET",
            "state": "RI",
            "postal_code": "028956146",
            "telephone_number": "401-770-3813",
            "fax_number": "401-406-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 W LINCOLN HWY",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488208",
            "telephone_number": "866-389-2727",
            "fax_number": "401-406-3539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINUTECLINIC DIAGNOSTIC OF ILLINOIS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-17",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "PINCINCE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "401-770-3813"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sydney Ann Miron

• Family Nurse Practitioner in Mokena, IL
• Providers in Mokena, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.