Signature Medical Clinic LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SIGNATURE MEDICAL CLINIC LLC

Practice address

1717 W Algonquin Rd
Mount Prospect, IL 60056-5401

Phone

(224) 404-1338

NPI assigned

Feb 26, 2020

Organization subpart

No

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

Authorized official

Name

Arletta A De Vries, NP

Title

Owner

Phone

(630) 486-7437

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Dawn E Soderstrom, NP-C

  • Nurse Practitioner
  • Minnetonka, MN
  • NPI 1124445952
  NPD
• Zbigniew M Ciechanowski, M.D.

  • Internal Medicine Physician
  • St Charles, IL
  • NPI 1467452573
  NPD (past)

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1558995779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7113 W HIGGINS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606561903",
            "telephone_number": "630-486-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W ALGONQUIN RD",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600565401",
            "telephone_number": "224-404-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "DE VRIES",
        "authorized_official_first_name": "ARLETTA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-486-7437",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aisha Sheppard
• Mark C. Shields, M.D.
• Lubowa N Shimonde
• Alla Shostak, RPH
• Bilal Siddiqui, D.P.M
• Kelly Sijapati, IBCLC
• Gurmukh Singh, PA-C
• Sukhwinder K Singh, LSW
• Evans R Sirois, D.O
• SK Supplies Inc

• Multi-Specialty Clinic/Center in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.