PROMED IL PLLC
NPI 1174205801
Clinic/Center - Adolescent and Children Mental Health in Warrenville, IL

Q: What is Promed Il PLLC's NPI number?

The NPI number for Promed Il PLLC is 1174205801. It was assigned to this organization in the NPPES registry on August 2, 2023.

Q: What is Promed Il PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Q: When was this NPI record last updated?

The NPPES record for Promed Il PLLC was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 02, 2023

4580 WEAVER PKWY STE 102, WARRENVILLE, IL 60555(844) 776-6332 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Promed Il Pllc NPPES

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

PROMED IL PLLC (NPI 1174205801) is a healthcare organization registered as an adolescent and children mental health in Warrenville, Illinois and active in the NPI registry since August 2023. The organization lists Lev Grinman, Owner, as its authorized official.

NPPES Registry Identity

NPI1174205801

Entity TypeOrganization

Primary Taxonomy261QM0855X

Legal Business NamePROMED IL PLLC

Location Address4580 WEAVER PKWY STE 102Warrenville, IL 60555-3864

Mailing Address4 Legends CirMelville, NY 11747-5302

Phone(844) 776-6332

Organization SubpartNo

Authorized OfficialLev GrinmanOwner · (844) 776-6332

Enumeration DateAugust 2, 2023

Last NPPES UpdateJanuary 24, 2024

NPPES CertifiedJanuary 24, 2024

✔ NPI 1174205801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0855X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

4580 WEAVER PKWY STE 102, Warrenville, IL 60555

Open in Google Maps ↗

Other Providers at the Same Location NPPES 14

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

OLUSHOLA SHOBOWALE PMHNP

Nurse Practitioner (Psychiatric/Mental Health)