PHYSICAL MEDICINE CLINIC OF GRANITE CITY LTD
NPI 1083986541
Non-Pharmacy Dispensing Site in Granite City, IL

NPI Status: Active since January 31, 2012

Contact Information

2861 MADISON AVE
GRANITE CITY, IL
ZIP 62040
Phone: (618) 877-4000

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  • Organization
  • Non-Pharmacy Dispensing Site

About PHYSICAL MEDICINE CLINIC OF GRANITE CITY LTD

This page provides the complete NPI Profile along with additional information for Physical Medicine Clinic Of Granite City Ltd, a provider established in Granite City, Illinois operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1083986541 assigned on January 2012. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Dr. Bud Chombirun M.d. (Medical Director)

NPI
1083986541
Provider Name
PHYSICAL MEDICINE CLINIC OF GRANITE CITY LTD
Entity Type
Organization
Location Address
2861 MADISON AVE GRANITE CITY, IL 62040
Location Phone
(618) 877-4000
Mailing Address
2980 N BEVERLY GLEN CIR SUITE 301 LOS ANGELES, CA 90077
Mailing Phone
(310) 474-9809
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-31-2012
Last Update Date
01-31-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BUD CHOMBIRUN M.D.

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(618) 877-4000

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1083986541, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
3
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
5
Unchanged
Pos 9
4
Doubled → 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 9 → 18 → 9 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 6 + 3 + 1 + 8 + 8 + 1 + 2 + 5 + 8 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1083986541.

Other Providers at the Same Location


The following 10 providers are registered at the same or a nearby location.

Chiropractor
2861 MADISON AVE
GRANITE CITY, IL 62040
Nurse Practitioner (Adult Health)
2861 MADISON AVE
GRANITE CITY, IL 62040
Chiropractor
2861 MADISON AVE
GRANITE CITY, IL 62040
Chiropractor
2861 MADISON AVE
GRANITE CITY, IL 62040
Physician Assistant
2861 MADISON AVE
GRANITE CITY, IL 62040
Clinic/Center (Urgent Care)
2861 MADISON AVE
GRANITE CITY, IL 62040
Nurse Practitioner (Family)
2861 MADISON AVE
GRANITE CITY, IL 62040
Nurse Practitioner
2861 MADISON AVE
GRANITE CITY, IL 62040
Physician Assistant
2861 MADISON AVE
GRANITE CITY, IL 62040
Nurse Practitioner
2861 MADISON AVE
GRANITE CITY, IL 62040

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083986541, enumerated as an "organization" on January 31, 2012.

The provider is located at 2861 MADISON AVE GRANITE CITY, IL 62040 and the phone number is (618) 877-4000.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.