GOLF MILL FAMILY CLINIC – NPI #1891954707
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

GOLF MILL FAMILY CLINIC is a provider located in NILES, IL. NPPES has assigned the NPI number 1891954707 to GOLF MILL FAMILY CLINIC on June 05, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 15 years ago on Jan 18, 2011. 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 GOLF MILL FAMILY CLINIC below.

NPI Profile for
GOLF MILL FAMILY CLINIC

NPI Number
1891954707
Enumeration Date

(more than 18 years 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
GOLF MILL FAMILY CLINIC
Primary location
8937 W GOLF RD
NILES, IL 60714-5812
Phone: (847) 975-9711 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BELLA ZARUBINSKY
OWNER
Phone: (847) 375-9711
Updated
Identifiers

Identifiers for GOLF MILL FAMILY CLINIC

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.

DescriptionIssuerStateIdentifier
MEDICAIDIL036088851
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
208D00000X
- General Practice (Primary)
IL 036088851

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.