NORTHERN ILLINOIS MEDICAL CENTER
NPI 1962036921
Clinic/Center - Mental Health (Including Community Mental Health Center) in Woodstock, IL

NPI Status: Active since February 28, 2020

Contact Information

3701 DOTY RD
WOODSTOCK, IL
ZIP 60098
Phone: (815) 338-2910
Fax: (815) 338-2912

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  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About NORTHERN ILLINOIS MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Northern Illinois Medical Center, a provider established in Woodstock, Illinois operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1962036921 assigned on February 2020. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Thomas Joseph Mcafee (Ceo)

NPI
1962036921
Provider Name
NORTHERN ILLINOIS MEDICAL CENTER
Entity Type
Organization
Location Address
3701 DOTY RD WOODSTOCK, IL 60098
Location Phone
(815) 338-2910
Location Fax
(815) 338-2912
Mailing Address
3701 DOTY RD WOODSTOCK, IL 60098
Mailing Phone
(815) 338-2910
Mailing Fax
(815) 338-2912
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-28-2020
Last Update Date
02-28-2020
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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 Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

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

THOMAS JOSEPH MCAFEE

Authorized Official Title
CEO
Authorized Official Phone
(847) 595-6101

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1962036921
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29122031294
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 0 + 3 + 1 + 2 + 9 + 4 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1962036921 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

LAKE MCHENRY PATHOLOGY ASSOCIATES LTD

Pathology

(Anatomic Pathology & Clinical Pathology)

3701 DOTY RD
WOODSTOCK, IL
ZIP 60098

(815) 338-2500

WENDY L. WARD M.D.

Pathology

(Anatomic Pathology & Clinical Pathology)

3701 DOTY RD
CENTEGRA MEMORIAL MEDICAL CENTER / PATHOLOGY DEPARTMENT
WOODSTOCK, IL
ZIP 60098

(815) 344-5555

MARK S. SCHIFFER M.D.

Radiology

(Diagnostic Radiology)

3701 DOTY RD
WOODSTOCK, IL
ZIP 60098

(815) 338-2500

NANCY R. SAGONA M.D.

Radiology

(Diagnostic Radiology)

3701 DOTY RD
MEMORIAL MEDICAL CENTER / RADIOLOGY DEPAR
WOODSTOCK, IL
ZIP 60098

(815) 338-2500

IWONA BOBELA M.D.

Anesthesiology

3701 DOTY RD
CENTEGRA MEMORIAL MEDICAL CENTER
WOODSTOCK, IL
ZIP 60098

(815) 334-3170

MARSHA K KEHRES C.R.N.A

Nurse Anesthetist, Certified Registered

3701 DOTY RD
WOODSTOCK, IL
ZIP 60098

(815) 338-2500

ROSANNE FITKO M.D.

Pathology

(Anatomic Pathology & Clinical Pathology)

3701 DOTY RD
LAKE / MCHENRY PATHOLOGY ASSOCIATES, LTD.
WOODSTOCK, IL
ZIP 60098

(815) 344-5555

MRS. JANYCE B DORR CRNA

Nurse Anesthetist, Certified Registered

3701 DOTY RD
WOODSTOCK, IL
ZIP 60098

(815) 334-3170

RANDHIRJI ODEDRA M.D.

Emergency Medicine

3701 DOTY RD
DEPARTMENT OF EMERGENCY MEDICAL SERVICES
WOODSTOCK, IL
ZIP 60098

(815) 338-2500

DR. NIVA S SHAH PHARMD

Pharmacist

3701 DOTY RD
PHARMACY DEPARTMENT
WOODSTOCK, IL
ZIP 60098

(815) 334-3880

DR. JANINE A. KRUEGER PHARM.D.

Pharmacist

3701 DOTY RD
PHARMACY DEPARTMENT
WOODSTOCK, IL
ZIP 60098

(815) 334-3880

DR. MELISSA JUNE RANGEL PHARMD

Pharmacist

3701 DOTY RD
PHARMACY DEPARTMENT
WOODSTOCK, IL
ZIP 60098

(815) 334-3880

DR. SHIRLEY ANN FELDER PHARMD

Pharmacist

3701 DOTY RD
CENTEGRA MEMORIAL MEDICAL CENTER PHARMACY
WOODSTOCK, IL
ZIP 60098

(815) 334-3880

DONNA MARIE GIBBLE RPH

Pharmacist

3701 DOTY RD
CENTEGRA MEMORIAL MEDICAL CENTER PHARMACY
WOODSTOCK, IL
ZIP 60098

(815) 334-3880

REGIONAL CARDIOLOGY CONSULTANTS LTD

Specialist

3701 DOTY RD
WOODSTOCK, IL
ZIP 60098

(815) 338-2500

SCOTT S FELT CRNA

Nurse Anesthetist, Certified Registered

3701 DOTY RD
ATTN: ANESTHESIA
WOODSTOCK, IL
ZIP 60098

(815) 334-3170

DR. SCOTT LEE PADJEN RPH, PHARM D

Pharmacist

3701 DOTY RD
WOODSTOCK, IL
ZIP 60098

(815) 334-3881

ANTHONY LEUNG PHARMACIST

Pharmacist

(Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

3701 DOTY RD
WOODSTOCK, IL
ZIP 60098

(815) 334-3880

MEMORIAL MEDICAL CENTER

General Acute Care Hospital

3701 DOTY RD
WOODSTOCK, IL
ZIP 60098

(815) 338-2500

PHARES MONDO CRNA

Nurse Anesthetist, Certified Registered

3701 DOTY RD
WOODSTOCK, IL
ZIP 60098

(815) 343-3170

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962036921, enumerated as an "organization" on February 28, 2020.

The provider is located at 3701 DOTY RD WOODSTOCK, IL 60098 and the phone number is (815) 338-2910.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).