Organization Active NPI

Home Clinix Illinois LLC

  • Specialist
  • Mt Prospect, IL
National Provider Identifier
1386415313
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
HOME CLINIX ILLINOIS LLC
Doing business as
Home Clinix
Practice address
259 E Rand Rd Ste 209B
Mt Prospect, IL 60056-2184
Phone
(708) 274-7322
Fax
(801) 890-3434
NPI assigned
Jan 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Authorized official

Name
Spencer Clark
Title
Owner
Phone
(708) 274-7322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

259 E Rand Rd Ste 209B
Mt Prospect, IL 60056-2184

Mailing address

4337 W Oxford St
Cedar Hills, UT 84062-8638
Phone (708) 274-7322

Other names 1

  • Home Clinix Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240627000326 IL Part B Supplier - Clinic/Group Practice 7517401979 Receives reassigned benefits from 2 practitioners
Practice locations: Mount Prospect, IL

National Provider Directory

National Provider Directory

Locations

259 E Rand Rd
Ste 209B
Mt Prospect, IL 60056
Phone (708) 274-7322

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1386415313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4337 W OXFORD ST",
            "city": "CEDAR HILLS",
            "state": "UT",
            "postal_code": "840628638",
            "telephone_number": "708-274-7322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 E RAND RD STE 209B",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600562184",
            "telephone_number": "708-274-7322",
            "fax_number": "801-890-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME CLINIX ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-274-7322"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Clinix",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Home Clinix",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mt Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.