THE MEDADDRESS, S.C.
NPI 1205075942
Clinic/Center - Primary Care in Libertyville, IL
About The Medaddress, S.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THE MEDADDRESS, S.C. (NPI 1205075942) is a healthcare organization registered as a primary care in Libertyville, Illinois and active in the NPI registry since February 2009. The organization lists Nina S Maniquis, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
The Medaddress, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to The Medaddress, S.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 The Medaddress, S.C.'s NPI number?
The NPI number for The Medaddress, S.C. is 1205075942. It was assigned to this organization in the NPPES registry on February 18, 2009.
Where is The Medaddress, S.C. located?
The Medaddress, S.C. is located at 303 E Park Ave Suite 103, Libertyville, IL 60048. The listed phone number is (847) 522-7505.
What is The Medaddress, S.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is The Medaddress, S.C. enrolled in Medicare?
Yes. The Medaddress, S.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Medaddress, S.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to The Medaddress, S.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for The Medaddress, S.C. was last updated on May 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.
# The Medaddress, S.c. · NPI 1205075942
Primary Care organization in Libertyville, Illinois. Organization record, active in the CMS NPPES registry since February 18, 2009.
## Identity
- **NPI:** 1205075942 (Entity type: Organization)
- **Enumerated:** February 18, 2009
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Nina Maniquis, PRESIDENT
## Practice location
- **Address:** 303 E PARK AVE, SUITE 103, Libertyville, IL 60048-2898
- **Phone:** (847) 522-7505
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 8, 2026
- **Other identifiers:** Medicaid 042619466 (IL)
---
Source: [NPI Profile](https://npiprofile.com/npi/1205075942) · Data from the CMS NPPES public registry.