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PASSPORT ENTERPRISES LLC
NPI 1093978603
Clinic/Center in Vernon Hills, IL

Active since July 03, 2008
250 CENTER DR STE 202, VERNON HILLS, IL 60061(847) 816-3434 Get Directions Write a Review

NPPES record last updated: July 3, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Passport Enterprises Llc NPPES

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

PASSPORT ENTERPRISES LLC (NPI 1093978603) is a healthcare organization registered as a clinic/center in Vernon Hills, Illinois and active in the NPI registry since July 2008. The organization lists Elizabeth Capron, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1093978603
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePASSPORT ENTERPRISES LLC
Location Address250 CENTER DR STE 202Vernon Hills, IL 60061-1582
Mailing Address250 Center Dr Ste 202Vernon Hills, IL 60061-1582 · (847) 816-3434
Phone(847) 816-3434
Organization SubpartNo
Authorized OfficialElizabeth CapronBusiness Manager · (817) 681-3775
Enumeration DateJuly 3, 2008
✔ NPI 1093978603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in IL · 036099609
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
250 CENTER DR STE 202, Vernon Hills, IL 60061
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Other Identifiers 2

Medicare PINK37836IL
Medicare PIN215125IL

Other Providers at the Same Location NPPES

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

PASSPORT ENTERPRISES, LLC
Clinic/Center
250 CENTER DR STE 202
VERNON HILLS, IL 60061
Lake County (847) 816-3434

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 Passport Enterprises LLC's NPI number?

The NPI number for Passport Enterprises LLC is 1093978603. It was assigned to this organization in the NPPES registry on July 3, 2008.

Where is Passport Enterprises LLC located?

Passport Enterprises LLC is located at 250 Center Dr Ste 202, Vernon Hills, IL 60061. The listed phone number is (847) 816-3434.

What is Passport Enterprises LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Passport Enterprises LLC was last updated on July 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.