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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AVID PRIMARY CARE LLC
NPI 1295522688
Family Medicine - Geriatric Medicine in Hazel Crest, IL

Active since April 21, 2025CLIA 14D2343891 · Certificate of Compliance
17465 KEDZIE AVE, HAZEL CREST, IL 60429(708) 887-7329(708) 907-0771 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 22, 2026, Feb 5, 2026, May 19, 2025 and 1 more (4 updates tracked since 2025).

About Avid Primary Care Llc NPPES

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

AVID PRIMARY CARE LLC (NPI 1295522688) is a healthcare organization registered as a geriatric medicine in Hazel Crest, Illinois and active in the NPI registry since April 2025. The organization holds a CLIA Certificate of Compliance certificate valid through May 12, 2028 and lists Ashraf Anani, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1295522688
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameAVID PRIMARY CARE LLC
Location Address17465 KEDZIE AVEHazel Crest, IL 60429-1632
Mailing Address17465 Kedzie AveHazel Crest, IL 60429-1632 · (708) 887-7329 · Fax (708) 907-0771
Phone(708) 887-7329
Fax(708) 907-0771
Organization SubpartNo
Authorized OfficialAshraf AnaniAuthorized Official · (708) 887-7329
Enumeration DateApril 21, 2025
Last NPPES UpdateJuly 2, 20264 updates tracked since enumeration
NPPES CertifiedJuly 2, 2026
✔ NPI 1295522688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
17465 KEDZIE AVE, Hazel Crest, IL 60429
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Compliance 14D2343891

Avid Primary Care LLC · Hazel Crest, IL
Active · expires May 12, 2028
CLIA Number14D2343891
Laboratory TypePhysician Office
Certificate Effective DateMay 13, 2026
Certificate Expiration DateMay 12, 2028
Laboratory DirectorVishakantha Murthy
Laboratory Phone(708) 887-7329
Laboratory LocationAvid Primary Care LLC17465 Kedzie Ave, Hazel Crest, IL 60429
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 4

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

AVID CARE DEVICES LLC
Family Medicine (Geriatric Medicine)
17465 KEDZIE AVE
HAZEL CREST, IL 60429
Cook County (708) 953-9527
EPIC MED LLC
Family Medicine (Geriatric Medicine)
17465 KEDZIE AVE
HAZEL CREST, IL 60429
Cook County (708) 887-7329
SIDDHI J PATEL
Nurse Practitioner (Family)
17465 KEDZIE AVE
HAZEL CREST, IL 60429
Cook County (708) 887-7329
AVID URGENT CARE LLC
Clinic/Center (Urgent Care)
17465 KEDZIE AVE
HAZEL CREST, IL 60429
Cook County (708) 887-7329

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 Avid Primary Care LLC's NPI number?

The NPI number for Avid Primary Care LLC is 1295522688. It was assigned to this organization in the NPPES registry on April 21, 2025.

Where is Avid Primary Care LLC located?

Avid Primary Care LLC is located at 17465 Kedzie Ave, Hazel Crest, IL 60429. The listed phone number is (708) 887-7329.

What is Avid Primary Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Does Avid Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 14D2343891) is associated with this NPI, valid through May 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Avid Primary Care LLC was last updated on July 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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.