MEDFUSE ILLINOIS PLLC – NPI #1972307080
Clinic/Center

MEDFUSE ILLINOIS PLLC is an AHC clinic located in RENSSELAER, IN. NPPES has assigned the NPI number 1972307080 to MEDFUSE ILLINOIS PLLC on April 01, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QI0500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Infusion Therapy

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MEDFUSE ILLINOIS PLLC below.

NPI Profile for
MEDFUSE ILLINOIS PLLC

NPI Number
1972307080
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MEDFUSE ILLINOIS PLLC
Primary location
123 S MCKINLEY AVE
RENSSELAER, IN 47978-2949
Phone: (847) 324-6800 Fax: (224) 251-7141
Mailing address
4711 GOLF RD STE 900
SKOKIE, IL 60076-1247
Phone: (847) 234-6800 Fax:
Organization Subpart
No
Authorized Official
KENNETH GOLDMAN
CEO
Phone: (847) 324-6800
Updated
Certification Date
Apr 01, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QI0500X
- Clinic/Center / Infusion Therapy (Primary)
261Q00000X
- Clinic/Center
207R00000X
- Internal Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.