KISHWAUKEE PHYSICIAN GROUP, INC.
NPI 1679933139
Durable Medical Equipment & Medical Supplies in Sycamore, IL
NPI Status: Active since February 26, 2016
Contact Information
1850 GATEWAY DR
SYCAMORE, IL
ZIP 60178
Phone: (815) 758-8671
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 14D0415284
- CLIA Cert. Type: Other - HOSPITAL ICC LAB
- CLIA Exp. Date: 03-08-2027
About KISHWAUKEE PHYSICIAN GROUP, INC.
This page provides the complete NPI Profile along with additional information for Kishwaukee Physician Group, Inc., a provider established in Sycamore, Illinois operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1679933139 assigned on February 2016. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Ms. Christine Zydek (Director Of Finance)
- NPI
- 1679933139
- Provider Name
- KISHWAUKEE PHYSICIAN GROUP, INC.
- Entity Type
- Organization
- Location Address
- 1850 GATEWAY DR SYCAMORE, IL 60178
- Location Phone
- (815) 758-8671
- Mailing Address
- PO BOX 487 DEKALB, IL 60115
- Mailing Phone
- (815) 758-8671
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-26-2016
- Last Update Date
- 04-13-2018
- Code Navigator
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
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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
- 14D0415284
- Facility Type
- Other - HOSPITAL ICC LAB
- Certificate Effective Date
- March 09, 2025
- Certificate Expiration Date
- March 08, 2027
- Laboratory Director
- DR. JEREMIAH B. PLACIDO
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Kishwaukee Physician Group, Inc. on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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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 1679933139, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
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 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679933139, enumerated as an "organization" on February 26, 2016.
The provider is located at 1850 GATEWAY DR SYCAMORE, IL 60178 and the phone number is (815) 758-8671.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
