PROVIDA FAMILY MEDICINE – NPI #1881890333
Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
PROVIDA FAMILY MEDICINE is a provider located in GURNEE, IL. NPPES has assigned the NPI number 1881890333 to PROVIDA FAMILY MEDICINE on June 22, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PROVIDA FAMILY MEDICINE” is a dba name, the actual legal business name for this organization is PROVIDA HEALTH CENTER SC. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.
The NPI profile was previously updated about 2 years ago on Jan 31, 2024. 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 PROVIDA FAMILY MEDICINE below.
NPI Profile for
PROVIDA HEALTH CENTER SC
(about 19 years ago)
GURNEE, IL 60031 Phone: (847) 548-2200 Fax: (847) 548-2865
AUTHORIZED OFFICIAL
Phone: (847) 548-2200
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.
Identifiers for PROVIDA FAMILY MEDICINE
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | BCBS NUMBER | IL | 04923018 |
| OTHER | CORPORATE IL LICENSE | IL | 042616958 |
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 |
|---|---|---|
| 207Q00000X - Family Medicine (Primary) |
IL | 042616958 |
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.