ABSOLUTECARE OF ILLINOIS, PLLC - NPI 1407674104

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

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About Absolutecare Of Illinois, Pllc NPPES

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

ABSOLUTECARE OF ILLINOIS, PLLC (NPI 1407674104) is a healthcare organization registered as a multi-specialty in Chicago, Illinois and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through February 18, 2027 and lists Gregory P. Foti, President, as its authorized official.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1407674104

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameABSOLUTECARE OF ILLINOIS, PLLC

Location Address2627 W CERMAK RDChicago, IL 60608-3514

Mailing Address10175 Little Patuxent Pkwy Ste 800Columbia, MD 21044-3401

Phone(667) 400-0048

Organization SubpartNo

Authorized OfficialGregory P. FotiPresident · (443) 738-0225

Enumeration DateOctober 1, 2024

Last NPPES UpdateNovember 5, 20242 updates tracked since enumeration

NPPES CertifiedNovember 5, 2024

✔ NPI 1407674104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

2627 W CERMAK RD, Chicago, IL 60608

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CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 14D2318819
Facility Type: Physician Office
Certificate Effective Date: February 19, 2025
Certificate Expiration Date: February 18, 2027
Laboratory Director: ANOOP RAMAN
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Absolutecare Of Illinois, Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.