530 WINNETKA PROPERTY, LLC
NPI 1760695381
Internal Medicine in Winnetka, IL

Q: What is 530 Winnetka Property, LLC's NPI number?

The NPI number for 530 Winnetka Property, LLC is 1760695381. It was assigned to this organization in the NPPES registry on May 8, 2007.

Q: What is 530 Winnetka Property, LLC's specialty?

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

Active since May 08, 2007CLIA 14D0414787 · Waiver

530 WINNETKA AVE, WINNETKA, IL 60093(847) 441-6869(847) 441-6895 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About 530 Winnetka Property, Llc NPPES

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

530 WINNETKA PROPERTY, LLC (NPI 1760695381) is a healthcare organization registered as an internal medicine in Winnetka, Illinois and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through April 2, 2028 and lists Patrick W. Logan, Physician, as its authorized official.

NPPES Registry Identity

NPI1760695381

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business Name530 WINNETKA PROPERTY, LLC

Location Address530 WINNETKA AVEWinnetka, IL 60093-4023

Mailing Address530 Winnetka AveWinnetka, IL 60093-4023 · (847) 441-6869 · Fax (847) 441-6895

Phone(847) 441-6869

Fax(847) 441-6895

Organization SubpartNo

Authorized OfficialPatrick W. LoganPhysician · (847) 441-6869

Enumeration DateMay 8, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1760695381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

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.

530 WINNETKA AVE, Winnetka, IL 60093

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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

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 14D0414787

530 Winnetka Lab · Winnetka, IL

Active · expires Apr 2, 2028

CLIA Number14D0414787

Laboratory TypePhysician Office

Certificate Effective DateApril 3, 2026

Certificate Expiration DateApril 2, 2028

Laboratory DirectorNan L. Martin

Laboratory Phone(847) 441-6868

Laboratory Location530 Winnetka Lab530 Winnetka Ave, Winnetka, IL 60093

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

DAVID R. DONNERSBERGER MD

Internal Medicine