Instaclinic of Illinois, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

INSTACLINIC OF ILLINOIS, LLC

Practice address

2811 Homer Adams Parkway
Alton, IL 62002

Phone

(314) 238-1275

Fax

(314) 238-1250

NPI assigned

Sep 26, 2006

Last updated

Aug 26, 2008By 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

Mrs. Patricia M Sohn, RNNPI 1750338174

Title

Manager

Phone

(314) 238-1275

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Patricia M Sohn, MSN, APRN-BC, ANP

  • Adult Health Nurse Practitioner
  • Festus, MO
  • NPI 1750338174
  NPD (past) Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1447351028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10805 SUNSET OFFICE DRIVE",
            "address_2": "SUITE 300",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63127",
            "telephone_number": "314-238-1275",
            "fax_number": "314-238-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 HOMER ADAMS PARKWAY",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "62002",
            "telephone_number": "314-238-1275",
            "fax_number": "314-238-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTACLINIC OF ILLINOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "SOHN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-238-1275",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW PTAN MASS IMMUNIZER PROVIDER NUMBER",
            "identifier": "216708",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Illinois Department of Human Services (Alton Mental Health Center)
• Illinois Department of Human Services (Alton Mental Health Center - Locust Unit)
• Illinois Institute of Neurology LTD
• Imaging Center of Alton, LLC
• Impact Cil
• Intensivo LLC
• Internal Medicine Specialists LTD
• Interventional Pain Consultants LLC
• John Iskander
• Nicholas Dane Ives, DMD

• Clinic/Center in Alton, IL
• Providers in Alton, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.