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MAINE RIDGE MEDICAL ASSOCIATES
NPI 1275608358
Specialist in Des Plaines, IL

Active since November 22, 2006CLIA 14D2022918 · Waiver
9301 GOLF RD, SUITE 302, DES PLAINES, IL 60016(847) 296-8151(847) 296-3915 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Maine Ridge Medical Associates NPPES

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

MAINE RIDGE MEDICAL ASSOCIATES (NPI 1275608358) is a healthcare organization registered as a specialist in Des Plaines, Illinois and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through April 12, 2027 and lists Lynn Mcroy, Billing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1275608358
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMAINE RIDGE MEDICAL ASSOCIATES
Location Address9301 GOLF RD, SUITE 302Des Plaines, IL 60016-1667
Mailing Address9301 Golf Rd, Suite 302Des Plaines, IL 60016-1667 · (847) 296-8151 · Fax (847) 296-3915
Phone(847) 296-8151
Fax(847) 296-3915
Organization SubpartNo
Authorized OfficialLynn McroyBilling Coordinator · (773) 767-3822
Enumeration DateNovember 22, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1275608358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
9301 GOLF RD, Des Plaines, IL 60016
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2022918

N S U H Psc - Maine Ridge · Des Plaines, IL
Active · expires Apr 12, 2027
CLIA Number14D2022918
Laboratory TypeIndependent
Certificate Effective DateApril 13, 2025
Certificate Expiration DateApril 12, 2027
Laboratory DirectorMark Dieterich MD
Laboratory Phone(847) 296-8179
Laboratory LocationN S U H Psc - Maine Ridge9301 Golf Rd, Ste 302, Des Plaines, IL 60016
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

DR. KHUSHROO E PATEL M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
9301 GOLF RD, SUITE 204
DES PLAINES, IL 60016
Cook County (847) 297-3347
DR. ROBERT GAROON M.D.
Ophthalmology (Retina Specialist)
9301 GOLF RD
DES PLAINES, IL 60016
Cook County (847) 294-0080
RAJAN H PATEL M.D.
Internal Medicine
9301 GOLF RD, SUITE 302
DES PLAINES, IL 60016
Cook County (847) 296-8151
GOLF GLEN DENTISTRY
Dentist
9301 GOLF RD, STE 106
DES PLAINES, IL 60016
Cook County (847) 826-7467
ASSOCIATES FOR PLASTIC SURGERY EXCELLENCE LTD
Plastic Surgery (Surgery of the Hand)
9301 GOLF RD, SUITE 110
DES PLAINES, IL 60016
Cook County (847) 297-8001
OPTIMUM PHYSICAL THERAPY, INC.
Physical Therapist
9301 GOLF RD, STE 204
DES PLAINES, IL 60016
Cook County (847) 391-9720
MISS VICTORIA KLEM ANP-C
Nurse Practitioner (Adult Health)
9301 GOLF RD, SUITE 110
DES PLAINES, IL 60016
Cook County (847) 297-8001
FREDERIC K RENOLD MD SC
Specialist
9301 GOLF RD, STE 301
DES PLAINES, IL 60016
Cook County (847) 635-7300

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 Maine Ridge Medical Associates's NPI number?

The NPI number for Maine Ridge Medical Associates is 1275608358. It was assigned to this organization in the NPPES registry on November 22, 2006.

Where is Maine Ridge Medical Associates located?

Maine Ridge Medical Associates is located at 9301 Golf Rd Suite 302, Des Plaines, IL 60016. The listed phone number is (847) 296-8151.

What is Maine Ridge Medical Associates's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Maine Ridge Medical Associates hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2022918) is associated with this NPI, valid through April 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Maine Ridge Medical Associates was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.