ANTIOCH CLINIC,LLC
NPI 1376686204
Specialist in Antioch, IL

Active since February 14, 2007
707 MAIN ST, ANTIOCH, IL 60002(847) 395-1560(847) 395-4864 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Antioch Clinic,llc NPPES

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

ANTIOCH CLINIC,LLC (NPI 1376686204) is a healthcare organization registered as a specialist in Antioch, Illinois and active in the NPI registry since February 2007. The organization lists Dennis A Thain, Physician, as its authorized official.

NPPES Registry Identity

NPI1376686204
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameANTIOCH CLINIC,LLC
Location Address707 MAIN STAntioch, IL 60002-1321
Mailing Address707 Main StAntioch, IL 60002-1321 · (847) 395-1560 · Fax (847) 395-4864
Fax(847) 395-4864
Organization SubpartNo
Authorized OfficialDennis A ThainPhysician · (847) 395-1560
Enumeration DateFebruary 14, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1376686204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in IL · 36070072
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.
707 MAIN ST, Antioch, IL 60002

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

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 Antioch Clinic,llc's NPI number?

The NPI number for Antioch Clinic,llc is 1376686204. It was assigned to this organization in the NPPES registry on February 14, 2007.

Where is Antioch Clinic,llc located?

Antioch Clinic,llc is located at 707 Main St, Antioch, IL 60002. The listed phone number is (847) 395-1560.

What is Antioch Clinic,llc's specialty?

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

When was this NPI record last updated?

The NPPES record for Antioch Clinic,llc 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.