GLEN FLORA MEDICAL CLINIC
NPI 1003893017
Family Medicine in Waukegan,


Quality Rating: 100 out of 100 score

NPI Status: Active since December 30, 2005

Contact Information

935 Glen Flora Ave
Waukegan,
Post Code: 60085
Phone: (847) 249-3322
Fax: (847) 249-3381

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Glen Flora Medical Clinic in Waukegan - Family Medicine

Glen Flora Medical Clinic is a Family Medicine in Waukegan, . Glen Flora Medical Clinic practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Glen Flora Medical Clinic is 1003893017. The last update date is 2023-03-07.

Glen Flora Medical Clinic's current location address is 935 Glen Flora Ave, Waukegan, . You can contact this provider via phone number (847) 249-3322 and fax number (847) 249-3381. The mailing address for Glen Flora Medical Clinic is 935 Glen Flora Ave, Waukegan, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1003893017
Provider Legal Name
FAMILY HEALTH SERVICES S.C.
Other Organization Name
GLEN FLORA MEDICAL CLINIC
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
935 Glen Flora Ave, Waukegan,
Location Phone
(847) 249-3322
Location Fax
(847) 249-3381
Mailing Address
935 Glen Flora Ave, Waukegan, Illinois(IL)
Mailing Phone
847-249-3322
Mailing Fax
847-249-3381
Enumeration Date
2005-12-30
Last Update Date
2023-03-07
Code Navigator

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

Family Medicine

Taxonomy Code
207Q00000X
Type
-
License No.
-
License State
-
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
036099235 MEDICAID (05) Illinois (IL)

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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.
1003893017
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003169602
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2003169602
2 + 0 + 0 + 3 + 1 + 6 + 9 + 6 + 0 + 2 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 7 7

The NPI number 1003893017 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003892985 DAVID SPINDEL
Individual
Specialist 6721 N MOZART ST
CHICAGO, Illinois (IL)
773-262-0418
1003892464 GRANITE CITY CLINIC CORP
GRANITE CITY ANESTHESIA
Organization
Anesthesiology P O BOX 503734
SAINT LOUIS, Missouri (MO)
660-826-5960
1003892043 CONSTANTINE G DELIS
Individual
Internal Medicine, Nephrology 675 W NORTH AVE STE 209
MELROSE PARK, Illinois (IL)
312-654-2744
1003891987 MICHAEL PERRY ROSENBAUM
Individual
Pediatrics 9977 WOODS DR
SKOKIE, Illinois (IL)
847-663-8163
1003891755 CLARK D CHRISMAN
Individual
Pharmacist 1040 BRISTOL CT
WHEATON, Illinois (IL)
708-450-4941