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MEDDOC 40 LLC
NPI 1942016092
Clinic/Center - Health Service in Chicago, IL

Active since December 04, 2024
5113 S HARPER AVE, CHICAGO, IL 60615(708) 567-1071 Get Directions Write a Review

NPPES record last updated: December 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Secondary Taxonomies
  4. Authorized Official
  5. Other Providers Same Location
  6. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Health Service

About MEDDOC 40 LLC

This page provides the complete NPI Profile along with additional information for Meddoc 40 Llc, a provider established in Chicago, Illinois operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1942016092 assigned on December 2024. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Tonesia Rouse Mha Fache (Owner)

NPI
1942016092 Verify this NPI
Provider Name
MEDDOC 40 LLC
Entity Type
Organization
Location Address
5113 S HARPER AVE CHICAGO, IL 60615
Location Phone
(708) 567-1071
Mailing Address
2761 W 86TH ST CHICAGO, IL 60652
Mailing Phone
(773) 937-1992
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-04-2024
Last Update Date
12-04-2024
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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

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization		 License No. (State)
1251B00000XAgencies

Case Management

 
2251E00000XAgencies

Home Health

 
3251K00000XAgencies

Public Health or Welfare

 
4253Z00000XAgencies

In Home Supportive Care

 
5374U00000XNursing Service Related Providers

Home Health Aide

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TONESIA ROUSE MHA FACHE

Authorized Official Title
OWNER
Authorized Official Phone
(708) 567-1971

Reviews for MEDDOC 40 LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

TERRANCE CHAPMAN RBT
Behavior Technician
5113 S HARPER AVE
CHICAGO, IL 60615
Cook County (832) 755-5521
JAMILA JONES CLINICAL COUNSELING & CONSULTING LLC
Counselor (Professional)
5113 S HARPER AVE
CHICAGO, IL 60615
Cook County (312) 451-9230
KEY POINTS COUNSELING
Counselor (Professional)
5113 S HARPER AVE
CHICAGO, IL 60615
Cook County (224) 655-9742
MRS. SONDRA MONET TAYLOR MSW, L.C.S.W.
Social Worker (Clinical)
5113 S HARPER AVE
CHICAGO, IL 60615
Cook County (773) 574-8794
YAKIMA S DIEMER LPC
Counselor (Professional)
5113 S HARPER AVE, SUITE 2
CHICAGO, IL 60615
Cook County (708) 406-5479
TIFFANY HOFFMAN
Counselor (Mental Health)
5113 S HARPER AVE
CHICAGO, IL 60615
Cook County (773) 304-3699
KEARSTON BARWEGEN
Psychologist (Clinical)
5113 S HARPER AVE
CHICAGO, IL 60615
Cook County (708) 374-7891
MELLOW MIND LLC
Family Medicine
5113 S HARPER AVE
CHICAGO, IL 60615
Cook County (708) 840-1362
MORGAN JENKINS
Behavior Technician
5113 S HARPER AVE
CHICAGO, IL 60615
Cook County (833) 717-4244
KENYANNA RENEE MONIQUE RAGGS
Behavior Technician
5113 S HARPER AVE
CHICAGO, IL 60615
Cook County (833) 717-4244
NIJA S WHITAKER
Behavior Technician
5113 S HARPER AVE
CHICAGO, IL 60615
Cook County (833) 717-4244

Frequently Asked Questions

What is MEDDOC 40 LLC's NPI number?

The NPI number assigned to this healthcare provider is 1942016092, enumerated as an "organization" on December 04, 2024.

Where is the provider located?

The provider is located at 5113 S HARPER AVE CHICAGO, IL 60615 and the phone number is (708) 567-1071.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.