SA PADUA MEDICAL CENTER, LLC
NPI 1396074753
Family Medicine in Blue Island, IL

NPI Status: Active since December 15, 2009

Contact Information

2310 YORK ST
SUITE 2C
BLUE ISLAND, IL
ZIP 60406
Phone: (708) 388-4902

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  • Organization
  • Family Medicine

About SA PADUA MEDICAL CENTER, LLC

This page provides the complete NPI Profile along with additional information for Sa Padua Medical Center, Llc, a primary care provider established in Blue Island, Illinois operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1396074753 assigned on December 2009. The practitioner's primary taxonomy code is 207Q00000X with license number 036119492 (IL). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jerome Jabbour M.d. (President)

NPI
1396074753
Provider Name
SA PADUA MEDICAL CENTER, LLC
Entity Type
Organization
Location Address
2310 YORK ST SUITE 2C BLUE ISLAND, IL 60406
Location Phone
(708) 388-4902
Mailing Address
9201 CALUMET AVE MUNSTER, IN 46321
Mailing Phone
(219) 836-9024
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-15-2009
Last Update Date
08-20-2010
Code Navigator

A primary care provider (PCP) like Sa Padua Medical Center, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
036119492
License State
IL
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

JEROME JABBOUR M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(219) 836-9024

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
IL3468MEDICARE PIN (08)IL 

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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 1396074753, 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
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 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 9 → 18 → 9 0 → 0 4 → 8 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 8 + 6 + 0 + 7 + 8 + 7 + 1 + 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 1396074753.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
2310 YORK ST, SUITE 3A
BLUE ISLAND, IL 60406
Family Medicine
2310 YORK ST, SUITE 2 C
BLUE ISLAND, IL 60406
Radiology (Radiation Oncology)
2310 YORK ST, SUITE M
BLUE ISLAND, IL 60406
Internal Medicine (Gastroenterology)
2310 YORK ST, SUITE 2B
BLUE ISLAND, IL 60406
Psychiatry & Neurology (Neurology)
2310 YORK ST, #2C
BLUE ISLAND, IL 60406
Dentist (General Practice)
2310 YORK ST, 4B
BLUE ISLAND, IL 60406
Clinic/Center (Medical Specialty)
2310 YORK ST, SUITE 2B
BLUE ISLAND, IL 60406
Internal Medicine (Cardiovascular Disease)
2310 YORK ST
BLUE ISLAND, IL 60406
Family Medicine
2310 YORK ST, STE 2C
BLUE ISLAND, IL 60406
Radiology (Radiation Oncology)
2310 YORK ST, SUITE M
BLUE ISLAND, IL 60406
Internal Medicine
2310 YORK ST, SUITE 3C
BLUE ISLAND, IL 60406

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396074753, enumerated as an "organization" on December 15, 2009.

The provider is located at 2310 YORK ST SUITE 2C BLUE ISLAND, IL 60406 and the phone number is (708) 388-4902.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.