NPIMap

Minuteclinic Diagnostic of Illinois PLLC

Organization Active NPI Family Nurse Practitioner · Mokena, IL

NPI 1356485809 · NPPES record last updated Jul 24, 2024

Key facts

NPI
1356485809
Entity type
Organization (NPI type 2)
Primary specialty
Family Nurse Practitioner 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
Organization subpart
No

Authorized official

Name
Deborah Jean Pincince
Title
Administrator
Phone
(401) 770-3813

Corporate family (same tax ID) 2

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

Practitioners 225

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

View all 225

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20070910000607 IL Part B Supplier - Clinic/Group Practice 8729171566 Receives reassigned benefits from 221 practitioners
Practice locations: Joliet, IL; Orland Park, IL; Lake Forest, IL; Lindenhurst, IL; Lockport, IL; Mokena, IL; Naperville, IL; New Lenox, IL…

National Provider Directory

Tax ID family
Minuteclinic Diag of Il LLC (3 organizations share this tax ID)

Locations

1130 S Veterans Pkwy
Bloomington, IL 61704
Phone (309) 661-1839

1725 W Boughton Rd
Bolingbrook, IL 60490
Phone (630) 759-5320

8625 S Harlem Ave
Bridgeview, IL 60455
Phone (708) 237-3341

9139 Broadway Ave
Brookfield, IL 60513
Phone (708) 387-9982

344 W Hubbard St
Chicago, IL 60654
Phone (312) 222-2570

2656 N Elston Ave
Chicago, IL 60647
Phone (773) 252-1994

2112 W Peterson Ave
Chicago, IL 60659
Phone (773) 761-3001

137 S State St
Chicago, IL 60603
Phone (312) 609-0521

4801 N Central Ave
Chicago, IL 60630
Phone (773) 282-2828

110 W North Ave
Elmhurst, IL 60126
Phone (630) 617-2830

765 E State St
Geneva, IL 60134
Phone (630) 232-2095

1005 E Roosevelt Rd
Lombard, IL 60148
Phone (630) 627-8855

6506 N Alpine Rd
Loves Park, IL 61111
Phone (815) 633-6666

3100 W State Route 60
Mundelein, IL 60060
Phone (847) 367-2650

2050 Nelson Rd
New Lenox, IL 60451
Phone (815) 463-5281

9640 N Milwaukee Ave
Niles, IL 60714
Phone (847) 544-3830

11840 S State Route 59
Plainfield, IL 60585
Phone (815) 609-2451

2045 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 303-2450

1855 W Irving Park Rd
Schaumburg, IL 60193
Phone (630) 893-5570

680 S Sutton Rd
Streamwood, IL 60107
Phone (224) 766-6102

9551 171st St
Tinley Park, IL 60487
Phone (708) 873-0062

28201 Diehl Rd
Warrenville, IL 60555
Phone (630) 657-5555

8645 Woodward Ave
Woodridge, IL 60517
Phone (630) 910-2250

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor
Group: 193200000X MULTI-SPECIALTY GROUP		 101YP2500X
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP		 1041C0700X
Marriage & Family Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 106H00000X
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LF0000X Yes

Addresses

Primary practice location

11200 W Lincoln Hwy
Mokena, IL 60448-8208

Mailing address

1 CVS Dr
Minuteclinic MC-2295
Woonsocket, RI 02895-6146
Phone (401) 770-3813

Other providers in Mokena, IL

All providers in Mokena, IL · Family Nurse Practitioner in Illinois

Sources for this page

Verify at the official NPI Registry.