VACCINE CLINICS SC
NPI 1619756889
General Practice in Lincolnwood, IL
About Vaccine Clinics Sc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VACCINE CLINICS SC (NPI 1619756889) is a healthcare organization registered as a general practice in Lincolnwood, Illinois and active in the NPI registry since September 2023. The organization lists Judah Kanowitz, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vaccine Clinics Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Vaccine Clinics Sc, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Vaccine Clinics Sc's NPI number?
The NPI number for Vaccine Clinics Sc is 1619756889. It was assigned to this organization in the NPPES registry on September 26, 2023.
Where is Vaccine Clinics Sc located?
Vaccine Clinics Sc is located at 7257 N Lincoln Ave, Lincolnwood, IL 60712. The listed phone number is (917) 275-5134.
What is Vaccine Clinics Sc's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Vaccine Clinics Sc enrolled in Medicare?
Yes. Vaccine Clinics Sc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Vaccine Clinics Sc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Vaccine Clinics Sc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Vaccine Clinics Sc was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Vaccine Clinics Sc · NPI 1619756889
General Practice organization in Lincolnwood, Illinois. Organization record, active in the CMS NPPES registry since September 26, 2023.
## Identity
- **NPI:** 1619756889 (Entity type: Organization)
- **Enumerated:** September 26, 2023
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Judah Kanowitz, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 7257 N LINCOLN AVE, Lincolnwood, IL 60712-1810
- **Phone:** (917) 275-5134
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 26, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1619756889) · Data from the CMS NPPES public registry.