OMNI PRIMARY CARE AND AESTHETIC MEDICINE SC – NPI #1699025239
Family Medicine
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
OMNI PRIMARY CARE AND AESTHETIC MEDICINE SC is a provider located in LINCOLNWOOD, IL. NPPES has assigned the NPI number 1699025239 to OMNI PRIMARY CARE AND AESTHETIC MEDICINE SC on September 11, 2012. 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 207QA0000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Adolescent Medicine
The NPI profile was last updated on Nov 07, 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 OMNI PRIMARY CARE AND AESTHETIC MEDICINE SC below.
NPI Profile for
OMNI PRIMARY CARE AND AESTHETIC MEDICINE SC
(about 14 years ago)
LINCOLNWOOD, IL 60712-3925 Phone: (847) 242-1001 Fax: (847) 739-7219
DOCTOR
Phone: (847) 242-1001
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Identifiers for OMNI PRIMARY CARE AND AESTHETIC MEDICINE SC
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 |
|---|---|---|---|
| medicaid | IL | 036122637 |
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 |
|---|---|---|
| 207QA0000X - Family Medicine / Adolescent Medicine (Primary) |
IL | 036122637 |
| 208000000X - Pediatrics |
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.