PAULINA MED CLINIC
NPI 1316103286
General Practice in Chicago, IL

Active since July 31, 2008CLIA 14D0856173 · Waiver
3525 W PETERSON AVE, SUITE 611, CHICAGO, IL 60659(773) 583-7793(773) 583-7796 Get Directions Write a Review

NPPES record last updated: December 2, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paulina Med Clinic NPPES

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

PAULINA MED CLINIC (NPI 1316103286) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since July 2008. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Andrea Rentea, Doctor, as its authorized official.

NPPES Registry Identity

NPI1316103286
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePAULINA MED CLINIC
Location Address3525 W PETERSON AVE, SUITE 611Chicago, IL 60659-3324
Mailing Address3525 W Peterson Ave, Suite 611Chicago, IL 60659-3324 · (773) 583-7793 · Fax (773) 583-7796
Fax(773) 583-7796
Organization SubpartNo
Authorized OfficialAndrea RenteaDoctor · (773) 583-7793
Enumeration DateJuly 31, 2008
Last NPPES UpdateDecember 2, 2011
NPI 1316103286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in IL · 036058737
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3525 W PETERSON AVE, Chicago, IL 60659

Other Identifiers 1

Medicare PIN714740

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 Waiver 14D0856173

Paulina Medical Clinic · Lincolnwood, IL
Active · expires Aug 31, 2026
CLIA Number14D0856173
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAndrea Rentea
Laboratory Phone(773) 583-7793
Laboratory LocationPaulina Medical Clinic6677 N Lincoln Ave - Ste 110, Lincolnwood, IL 60712
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 16

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

Family Medicine
3525 W PETERSON AVE, SUITE 210
CHICAGO, IL 60659
Dentist (General Practice)
3525 W PETERSON AVE, #517
CHICAGO, IL 60659
Community/Behavioral Health
3525 W PETERSON AVE, SUITE T-21
CHICAGO, IL 60659
Internal Medicine
3525 W PETERSON AVE, STE 505
CHICAGO, IL 60659
Family Medicine
3525 W PETERSON AVE, S.611
CHICAGO, IL 60659
Counselor (Professional)
3525 W PETERSON AVE, T-17
CHICAGO, IL 60659
Social Worker (Clinical)
3525 W PETERSON AVE, SUITE T-17
CHICAGO, IL 60659
Home Health
3525 W PETERSON AVE
CHICAGO, IL 60659

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 Paulina Med Clinic's NPI number?

The NPI number for Paulina Med Clinic is 1316103286. It was assigned to this organization in the NPPES registry on July 31, 2008.

Where is Paulina Med Clinic located?

Paulina Med Clinic is located at 3525 W Peterson Ave Suite 611, Chicago, IL 60659. The listed phone number is (773) 583-7793.

What is Paulina Med Clinic's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Paulina Med Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0856173) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Paulina Med Clinic was last updated on December 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.