Adult Health LTD
Organization Active NPI Internal Medicine Physician · Bolingbrook, IL
NPI 1932248341 · NPPES record last updated Nov 2, 2023
Key facts
- NPI
- 1932248341
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 036098613 (IL)
- Legal business name
- ADULT HEALTH LTD
- Practice address
- 215 Remington Blvd Unit 1
Bolingbrook, IL 60440-3535 - Phone
- (630) 378-9191
- Fax
- (630) 378-9392
- NPI assigned
- Feb 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Eugene A Muzykansky, MD
- Title
- President
- Phone
- (630) 378-9191
Practitioners 1
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D1065947 | Adult Health Care Center | Certificate of waiver | Mar 12, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070425000087 | IL | Part B Supplier - Clinic/Group Practice | 4688779317 |
Receives reassigned benefits from 1 practitioner Practice locations: Bolingbrook, IL |
National Provider Directory
Locations
215 Remington Blvd
Unit 1
Bolingbrook, IL 60440
Phone (630) 378-9191
215 Remington Blvd
Ste I
Bolingbrook, IL 60440
Phone (630) 378-9191
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 036098613 | IL | Yes |
Addresses
Primary practice location
215 Remington Blvd Unit 1
Bolingbrook, IL 60440-3535
Mailing address
215 Remington Blvd Unit 1
Bolingbrook, IL 60440-3535
Phone (630) 378-9191
Other providers in Bolingbrook, IL
- Accurate Medical Supply
- Kasey Acito
- Tressey L Adams
- Adeona Clinical Laboratory LLC
- Adeona Clinical Laboratory LLC
- Advance Med Wellness LLC
- Advance Surgical Instruments Inc
- Advanced Allergy & Asthma Clinic S C
- Advanced Family Eyecare Center of Bolingbrook,Inc.
- Advanced Multi-Care Physicians Group
All providers in Bolingbrook, IL · Internal Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.