HIPPOCRATES MEDICAL CLINIC
NPI 1164882056
Clinical Nurse Specialist - Family Health in Kankakee, IL
NPI Status: Active since March 04, 2016
Contact Information
155 S SCHUYLER AVE
KANKAKEE, IL
ZIP 60901
Phone: (708) 446-4102
- Organization
- Clinical Nurse Specialist
- Family Health
- CLIA Number: 14D2130242
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 03-07-2028
About HIPPOCRATES MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for Hippocrates Medical Clinic, a provider established in Kankakee, Illinois operating as a Clinical Nurse Specialist, focusing in family health . The healthcare provider is registered in the NPI registry with number 1164882056 assigned on March 2016. The practitioner's primary taxonomy code is 364SF0001X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Hippocrates Medical Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Marcos Barajas (Executive Director)
- NPI
- 1164882056
- Provider Name
- HIPPOCRATES MEDICAL CLINIC
- Entity Type
- Organization
- Location Address
- 155 S SCHUYLER AVE KANKAKEE, IL 60901
- Location Phone
- (708) 446-4102
- Mailing Address
- 155 S SCHUYLER AVE KANKAKEE, IL 60901
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-04-2016
- Last Update Date
- 03-04-2016
- Code Navigator
A Clinical Nurse Specialist (CNS) like Hippocrates Medical Clinic is a type of advanced practice registered nurse (APRN) that provides direct patient care in various nursing specialties, including pediatrics or psychiatric-mental health. CNSs collaborate with other nurses and medical professionals to improve patient care quality. CNSs are often positioned in leadership roles where they may provide education and mentorship to other nursing personnel. Additionally, CNSs may also conduct research and advocate for certain healthcare policies.
Location Map
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
Clinical Nurse Specialist Family Health
- Taxonomy Code
- 364SF0001X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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
- 14D2130242
- Facility Type
- Community Clinic
- Certificate Effective Date
- March 08, 2026
- Certificate Expiration Date
- March 07, 2028
- Laboratory Director
- CLARENCE PARKS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Hippocrates Medical 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 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 1164882056, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164882056, enumerated as an "organization" on March 04, 2016.
The provider is located at 155 S SCHUYLER AVE KANKAKEE, IL 60901 and the phone number is (708) 446-4102.
Clinical Nurse Specialist with taxonomy code 364SF0001X and a focus in Family Health.
