VILLAGE DOCTOR, LTD
NPI 1982814992
Clinic/Center - Primary Care in Chicago, IL

Active since May 22, 2007CLIA 14D2065347 · Waiver
809 N WESTERN AVE, CHICAGO, IL 60622(773) 276-8600(773) 276-8601 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Village Doctor, Ltd NPPES

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

VILLAGE DOCTOR, LTD (NPI 1982814992) is a healthcare organization registered as a primary care in Chicago, Illinois and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists Iouri Melnik, President, as its authorized official.

NPPES Registry Identity

NPI1982814992
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameVILLAGE DOCTOR, LTD
Location Address809 N WESTERN AVEChicago, IL 60622-4637
Mailing Address809 N Western AveChicago, IL 60622-4637 · (773) 276-8600 · Fax (773) 276-8601
Fax(773) 276-8601
Organization SubpartNo
Authorized OfficialIouri MelnikPresident · (773) 276-8600
Enumeration DateMay 22, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1982814992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
809 N WESTERN AVE, Chicago, IL 60622

Other Identifiers 1

Other01632565IL · Bcbs

Accepted Insurance

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 14D2065347

Village Doctor Ltd · Chicago, IL
Active · expires Sep 8, 2027
CLIA Number14D2065347
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorIouri Melnik
Laboratory Phone(773) 276-8600
Laboratory LocationVillage Doctor Ltd2323 W Chicago Ave, Chicago, IL 60622
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Internal Medicine
809 N WESTERN AVE
CHICAGO, IL 60622
Internal Medicine
809 N WESTERN AVE
CHICAGO, IL 60622

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 Village Doctor, Ltd's NPI number?

The NPI number for Village Doctor, Ltd is 1982814992. It was assigned to this organization in the NPPES registry on May 22, 2007.

Where is Village Doctor, Ltd located?

Village Doctor, Ltd is located at 809 N Western Ave, Chicago, IL 60622. The listed phone number is (773) 276-8600.

What is Village Doctor, Ltd's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Village Doctor, Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2065347) is associated with this NPI, valid through September 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Village Doctor, Ltd accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Village Doctor, Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Village Doctor, Ltd was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.