HEALTH AND RENEWAL INTERNAL MEDICINE SC
NPI 1235467903
Clinic/Center - Medical Specialty in Evergreen Park, IL

NPI Status: Active since November 18, 2009

Contact Information

2850 W 95TH ST
SUITE 301
EVERGREEN PARK, IL
ZIP 60805
Phone: (708) 389-2200
Fax: (708) 389-2211

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  • Organization
  • Clinic/Center
  • Medical Specialty

About HEALTH AND RENEWAL INTERNAL MEDICINE SC

This page provides the complete NPI Profile along with additional information for Health And Renewal Internal Medicine Sc, a provider established in Evergreen Park, Illinois operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1235467903 assigned on November 2009. The practitioner's primary taxonomy code is 261QM2500X with license number 036100552 (IL). The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Dolores Louise Dixon-grevious Md (President)

NPI
1235467903
Provider Name
HEALTH AND RENEWAL INTERNAL MEDICINE SC
Entity Type
Organization
Location Address
2850 W 95TH ST SUITE 301 EVERGREEN PARK, IL 60805
Location Phone
(708) 389-2200
Location Fax
(708) 389-2211
Mailing Address
849 W OHIO ST UNIT 1 CHICAGO, IL 60642
Mailing Phone
(312) 850-3855
Mailing Fax
(708) 389-2211
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-18-2009
Last Update Date
11-18-2009
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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

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
License No.
036100552
License State
IL
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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)
1261QM2500XAmbulatory Health Care Facilities

Clinic/Center
Medical Specialty

01060010A (IN)

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. DOLORES LOUISE DIXON-GREVIOUS MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(312) 850-3855

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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 1235467903, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
0
Doubled → 0
Check
3
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 3 → 6 4 → 8 7 → 14 → 5 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 6 + 5 + 8 + 6 + 1 + 4 + 9 + 0 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1235467903.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Ophthalmology
2850 W 95TH ST, SUITE 401
EVERGREEN PARK, IL 60805
Internal Medicine
2850 W 95TH ST, SUITE 301
EVERGREEN PARK, IL 60805
Family Medicine
2850 W 95TH ST, #304
EVERGREEN PARK, IL 60805
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2850 W 95TH ST, SUITE 11
EVERGREEN PARK, IL 60805
Urology
2850 W 95TH ST, SUITE 302
EVERGREEN PARK, IL 60805
Internal Medicine (Hematology & Oncology)
2850 W 95TH ST, 203
EVERGREEN PARK, IL 60805
Physician Assistant (Surgical)
2850 W 95TH ST
EVERGREEN PARK, IL 60805
Internal Medicine
2850 W 95TH ST, SUITE 106
EVERGREEN PARK, IL 60805
Internal Medicine (Rheumatology)
2850 W 95TH ST, SUITE 200
EVERGREEN PARK, IL 60805
Psychiatry & Neurology (Psychiatry)
2850 W 95TH ST, SUITE 206
EVERGREEN PARK, IL 60805
Surgery
2850 W 95TH ST, SUITE 300
EVERGREEN PARK, IL 60805
Surgery
2850 W 95TH ST, SUITE 102
EVERGREEN PARK, IL 60805
Ophthalmology
2850 W 95TH ST, SUITE 401
EVERGREEN PARK, IL 60805
Internal Medicine (Rheumatology)
2850 W 95TH ST, SUITE 200
EVERGREEN PARK, IL 60805
Surgery
2850 W 95TH ST, SUITE 306
EVERGREEN PARK, IL 60805
Surgery
2850 W 95TH ST
EVERGREEN PARK, IL 60805
Nurse Practitioner (Gerontology)
2850 W 95TH ST, SUITE 106
EVERGREEN PARK, IL 60805
Ophthalmology
2850 W 95TH ST, SUITE 12
EVERGREEN PARK, IL 60805
Internal Medicine (Cardiovascular Disease)
2850 W 95TH ST, SUITE 305
EVERGREEN PARK, IL 60805
Registered Nurse (Registered Nurse First Assistant)
2850 W 95TH ST
EVERGREEN PARK, IL 60805

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235467903, enumerated as an "organization" on November 18, 2009.

The provider is located at 2850 W 95TH ST SUITE 301 EVERGREEN PARK, IL 60805 and the phone number is (708) 389-2200.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.