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SOUTH BELOIT OFFICE
NPI 1679839773
General Practice in South Beloit, IL

Active since April 03, 2012
1407 PATE PLAZA DR, SOUTH BELOIT, IL 61080(630) 219-2002 Get Directions Write a Review

NPPES record last updated: April 3, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Beloit Office NPPES

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

SOUTH BELOIT OFFICE (NPI 1679839773) is a healthcare organization registered as a general practice in South Beloit, Illinois and active in the NPI registry since April 2012. The organization lists Mubeen Saleem, Biller, as its authorized official.

NPPES Registry Identity

NPI1679839773
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameSOUTH BELOIT OFFICE
Location Address1407 PATE PLAZA DRSouth Beloit, IL 61080-1431
Mailing Address1407 Pate Plaza DrSouth Beloit, IL 61080-1431 · (630) 219-2002
Phone(630) 219-2002
Organization SubpartNo
Authorized OfficialMubeen SaleemBiller · (224) 616-8645
Enumeration DateApril 3, 2012
✔ NPI 1679839773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in IL · 036126253
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1407 PATE PLAZA DR, South Beloit, IL 61080
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Other Identifiers 1

Medicaid036-126253IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STATELINE CHIROPRACTIC & SPORTS INJURY CLINIC SC
Chiropractor (Sports Physician)
1407 PATE PLAZA DR
SOUTH BELOIT, IL 61080
Winnebago County (815) 389-7870
DR. JOSEPH C PROBST DC
Chiropractor (Sports Physician)
1407 PATE PLAZA DR
SOUTH BELOIT, IL 61080
Winnebago County (815) 389-7870

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 South Beloit Office's NPI number?

The NPI number for South Beloit Office is 1679839773. It was assigned to this organization in the NPPES registry on April 3, 2012.

Where is South Beloit Office located?

South Beloit Office is located at 1407 Pate Plaza Dr, South Beloit, IL 61080. The listed phone number is (630) 219-2002.

What is South Beloit Office's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for South Beloit Office was last updated on April 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.