MAINSTAY CLINICS INC
NPI 1053816405
Clinic/Center - Primary Care in Libertyville, IL

Active since March 28, 2018CLIA 14D2149145 · Waiver
333 PETERSON RD STE 240, LIBERTYVILLE, IL 60048(224) 864-2124(224) 246-8125 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2026, Aug 15, 2025, Mar 28, 2018 (3 updates tracked since 2018).

About Mainstay Clinics Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAINSTAY CLINICS INC (NPI 1053816405) is a healthcare organization registered as a primary care in Libertyville, Illinois and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through May 24, 2028, maintains a secondary practice location in Mundelein, and lists Alexander Jarosz, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1053816405
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMAINSTAY CLINICS INC
Location Address333 PETERSON RD STE 240Libertyville, IL 60048-1085
Mailing Address17942 W Pond Ridge CirGurnee, IL 60031-4534 · (224) 303-4138
Fax(224) 246-8125
Organization SubpartNo
Authorized OfficialAlexander JaroszTreasurer · (224) 717-0447
Enumeration DateMarch 28, 2018
Last NPPES UpdateApril 3, 20263 updates tracked since enumeration
NPPES CertifiedApril 3, 2026
NPI 1053816405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
333 PETERSON RD STE 240, Libertyville, IL 60048

Secondary Practice Location 1

Location 1408 N Seymour AveMundelein, IL 60060-1835 · Phone (224) 303-4138

Other Identifiers 1

Medicaid338829946001IL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2149145

Mainstay Clinics Inc · Libertyville, IL
Active · expires May 24, 2028
CLIA Number14D2149145
Laboratory TypePhysician Office
Certificate Effective DateMay 25, 2026
Certificate Expiration DateMay 24, 2028
Laboratory DirectorAlpha Jarosz
Laboratory Phone(224) 864-2124
Laboratory LocationMainstay Clinics Inc333 Peterson Rd - Ste 240, Libertyville, IL 60048
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
333 PETERSON RD STE 240
LIBERTYVILLE, IL 60048
Nurse Practitioner
333 PETERSON RD STE 240
LIBERTYVILLE, IL 60048
Clinic/Center
333 PETERSON RD STE 240
LIBERTYVILLE, IL 60048
Nurse Practitioner
333 PETERSON RD STE 240
LIBERTYVILLE, IL 60048
Nurse Practitioner (Family)
333 PETERSON RD STE 240
LIBERTYVILLE, IL 60048

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mainstay Clinics Inc's NPI number?

The NPI number for Mainstay Clinics Inc is 1053816405. It was assigned to this organization in the NPPES registry on March 28, 2018.

Where is Mainstay Clinics Inc located?

Mainstay Clinics Inc is located at 333 Peterson Rd Ste 240, Libertyville, IL 60048. The listed phone number is (224) 864-2124.

What is Mainstay Clinics Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Mainstay Clinics Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2149145) is associated with this NPI, valid through May 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mainstay Clinics Inc was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.