SKOKIE FAMILY CLINIC P.C.
NPI 1114250875
Clinic/Center in Skokie, IL
NPI Status: Active since September 14, 2009
Contact Information
4726 OAKTON ST
SKOKIE, IL
ZIP 60076
Phone: (847) 674-0455
Fax: (847) 674-0466
- Organization
- Clinic/Center
- CLIA Number: 14D1102597
- CLIA Cert. Type: Waiver
- CLIA Exp. Date: 10-27-2024
About SKOKIE FAMILY CLINIC P.C.
Skokie Family Clinic P.c. is a provider established in Skokie, Illinois operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1114250875 assigned on September 2009. The practitioner's primary taxonomy code is 261Q00000X with license number 036119286 (IL). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Dr. Dima Hanna Md (Physician)
- NPI
- 1114250875
- Provider Name
- SKOKIE FAMILY CLINIC P.C.
- Entity Type
- Organization
- Location Address
- 4726 OAKTON ST SKOKIE, IL 60076
- Location Phone
- (847) 674-0455
- Location Fax
- (847) 674-0466
- Mailing Address
- 4726 OAKTON ST SKOKIE, IL 60076
- Mailing Phone
- (847) 674-0455
- Mailing Fax
- (847) 674-0466
- Is Sole Proprietor?
- N/A
- Is Organization Subpart?
- No
- Enumeration Date
- 09-14-2009
- Last Update Date
- 09-14-2009
- Code Navigator
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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 036119286
- License State
- IL
- Taxonomy Description
- 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).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Ambetter from Home State Health
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
Ambetter from MHS
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
Ambetter Health of Delaware
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
Ambetter of Illinois
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Central Silver - HMO
- Central Silver + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Clear Silver + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
Blue Cross and Blue Shield of Illinois
- Blue Choice Preferred Bronze PPO℠ 201 - PPO
- Blue Choice Preferred Bronze PPO℠ 202 - PPO
- Blue Choice Preferred Bronze PPO℠ 601 - Rx Copays - PPO
- Blue Choice Preferred Bronze PPO℠ 701 - Rx Copays - PPO
- Blue Choice Preferred Bronze PPO℠ 708 - PPO
- Blue Choice Preferred Gold PPO℠ 204 - Rx Copays - PPO
- Blue Choice Preferred Gold PPO℠ 707 - PPO
- Blue Choice Preferred Security PPO℠ 200 - PPO
- Blue Choice Preferred Silver PPO℠ 203 - PPO
- Blue Choice Preferred Silver PPO℠ 706 - PPO
Molina Healthcare
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D1102597
- Facility Type
- Physician Office
- Certificate Effective Date
- October 28, 2022
- Certificate Expiration Date
- October 27, 2024
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Skokie Family Clinic P.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for SKOKIE FAMILY CLINIC P.C.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 2 | 5 | 0 | 8 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 4 | 5 | 0 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 4 + 5 + 0 + 8 + 1 + 4 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1114250875 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114250875, enumerated in the NPI registry as an "organization" on September 14, 2009
The provider is located at 4726 Oakton St Skokie, Il 60076 and the phone number is (847) 674-0455
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 14D1102597 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on September 14, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.