FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT S C
NPI 1437389475
Family Medicine in Mt Prospect, IL
NPI Status: Active since July 24, 2009
Contact Information
930 MOUNT PROSPECT PLZ
MT PROSPECT, IL
ZIP 60056
Phone: (847) 797-1962
Fax: (847) 797-1972
- Organization
- Family Medicine
- Accepts Insurance
- CLIA Number: 14D2032091
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-02-2025
About FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT S C
This page provides the complete NPI Profile along with additional information for Family Medicine Specialists Of Mount Prospect S C, a primary care provider established in Mt Prospect, Illinois operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1437389475 assigned on July 2009. The practitioner's primary taxonomy code is 207Q00000X with license number 036083207 (IL). The provider is registered as an organization and their NPI record was last updated 11 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 provider's former legal business name is Family Medicine Specialists Of Mount Prospect Incorporated. The authorized official of this NPI record is Mr. Jason Bellucci (Cfo)
- NPI
- 1437389475
- Provider Legal Name
- FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT S C
- Other Organization Name
- FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT INCORPORATED
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 930 MOUNT PROSPECT PLZ MT PROSPECT, IL 60056
- Location Phone
- (847) 797-1962
- Location Fax
- (847) 797-1972
- Mailing Address
- PO BOX 6037 WAUCONDA, IL 60084
- Mailing Phone
- (847) 526-2151
- Mailing Fax
- (847) 797-1972
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-24-2009
- Last Update Date
- 07-09-2015
- Code Navigator
A primary care provider (PCP) like Family Medicine Specialists Of Mount Prospect S C 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.
- 036083207
- 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:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- MercyCare Bronze 10,000 (1 Free PCP Visit) - HMO
- MercyCare Bronze Standard Expanded - HMO
- MercyCare Gold Standard - HMO
- MercyCare Silver 2,500 (3 Free PCP Visits) - HMO
- MercyCare Silver Health Savings - HMO
- MercyCare Silver Standard - HMO
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.
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 |
|---|---|---|---|
| IL3250 | MEDICARE PIN (08) | IL | |
| IL6845 | MEDICARE PIN (08) | IL |
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
- 14D2032091
- Facility Type
- Physician Office
- Certificate Effective Date
- November 03, 2023
- Certificate Expiration Date
- November 02, 2025
- Laboratory Director
- JENNIFER BELLUCCI JACKSON MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Family Medicine Specialists Of Mount Prospect S C 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.
Reviews for FAMILY MEDICINE SPECIALISTS OF MOUNT PROSPECT S C
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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 1437389475, we treat the final digit (5) 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 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 75 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
MT PROSPECT, IL 60056
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437389475, enumerated as an "organization" on July 24, 2009.
The provider is located at 930 MOUNT PROSPECT PLZ MT PROSPECT, IL 60056 and the phone number is (847) 797-1962.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health,. Please consult your insurance carrier or call the provider to verify.
