ALGONQUIN CLINIC
NPI 1154597029
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Algonquin, IL

NPI Status: Active since May 01, 2008

Contact Information

1473 COMMERCE DR
ALGONQUIN, IL
ZIP 60102
Phone: (847) 662-4380
Fax: (847) 662-3557

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  • Organization
  • Psychiatry & Neurology
  • Neurology with Special Qualifications in...
  • CLIA Number: 14D0896534
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-19-2025

About ALGONQUIN CLINIC

This page provides the complete NPI Profile along with additional information for Algonquin Clinic, a provider established in Algonquin, Illinois operating as a Psychiatry & Neurology, focusing in neurology with special qualifications in child neurology . The healthcare provider is registered in the NPI registry with number 1154597029 assigned on May 2008. The practitioner's primary taxonomy code is 2084N0402X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Algonquin Clinic. The authorized official of this NPI record is Dr. Thomas Dunigan Md (President, Children's Physician Grp)

NPI
1154597029
Provider Legal Name
CHILDREN'S PHYSICIAN GROUP
Other Organization Name
ALGONQUIN CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1473 COMMERCE DR ALGONQUIN, IL 60102
Location Phone
(847) 662-4380
Location Fax
(847) 662-3557
Mailing Address
9000 W WISCONSIN AVE MS 8000 MILWAUKEE, WI 53226
Mailing Phone
(414) 266-7615
Mailing Fax
(847) 662-3557
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-01-2008
Last Update Date
06-26-2008
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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

Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology

Taxonomy Code
2084N0402X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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. THOMAS DUNIGAN MD

Authorized Official Title
PRESIDENT, CHILDREN'S PHYSICIAN GRP
Authorized Official Phone
(414) 266-7615

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
14D0896534
Facility Type
Physician Office
Certificate Effective Date
August 20, 2023
Certificate Expiration Date
August 19, 2025
Laboratory Director
MICHAEL R. ODONNELL MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Algonquin Clinic 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.

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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.
1154597029
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211041091404
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 0 + 9 + 1 + 4 + 0 + 4 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1154597029 is valid because the calculated check digit 9 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 1154597029, enumerated as an "organization" on May 01, 2008.

The provider is located at 1473 COMMERCE DR ALGONQUIN, IL 60102 and the phone number is (847) 662-4380.

Psychiatry & Neurology with taxonomy code 2084N0402X and a focus in Neurology with Special Qualifications in Child Neurology.