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ATKINSON CLINIC SC
NPI 1437169646
Internal Medicine in Grayslake, IL

Active since August 09, 2006CLIA 14D0989751 · Waiver
100 N ATKINSON RD STE 207, GRAYSLAKE, IL 60030(847) 548-9777(847) 548-9797 Get Directions Write a Review

NPPES record last updated: August 21, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Atkinson Clinic Sc NPPES

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

ATKINSON CLINIC SC (NPI 1437169646) is a healthcare organization registered as an internal medicine in Grayslake, Illinois and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 5, 2027 and lists Sergei Shevlyagin, Owner, as its authorized official.

NPPES Registry Identity

NPI1437169646
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameATKINSON CLINIC SC
Location Address100 N ATKINSON RD STE 207Grayslake, IL 60030-7804
Mailing Address100 N Atkinson Rd Ste 207Grayslake, IL 60030-7804 · (847) 548-9777 · Fax (847) 548-9797
Phone(847) 548-9777
Fax(847) 548-9797
Organization SubpartNo
Authorized OfficialSergei ShevlyaginOwner · (847) 548-9777
Enumeration DateAugust 9, 2006
Last NPPES UpdateAugust 21, 2012
✔ NPI 1437169646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036978646
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
100 N ATKINSON RD STE 207, Grayslake, IL 60030
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Other Identifiers 4

Medicaid036978646IL
Other4927894IL · Blue Cross/shield
Medicare PIN709990IL
Other110224169IL · Rail Road Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 14D0989751

Atkinson Clinic, S C · Mundelein, IL
Active · expires Aug 5, 2027
CLIA Number14D0989751
Laboratory TypePhysician Office
Certificate Effective DateAugust 6, 2025
Certificate Expiration DateAugust 5, 2027
Laboratory DirectorSergei Shevlygin
Laboratory Phone(847) 548-9777
Laboratory LocationAtkinson Clinic, S C550 N Lake St, Mundelein, IL 60060
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Atkinson Clinic Sc's NPI number?

The NPI number for Atkinson Clinic Sc is 1437169646. It was assigned to this organization in the NPPES registry on August 9, 2006.

Where is Atkinson Clinic Sc located?

Atkinson Clinic Sc is located at 100 N Atkinson Rd Ste 207, Grayslake, IL 60030. The listed phone number is (847) 548-9777.

What is Atkinson Clinic Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Atkinson Clinic Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0989751) is associated with this NPI, valid through August 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Atkinson Clinic Sc was last updated on August 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.