TARGET CLINIC
NPI 1023448644
Clinic/Center in Chicago, IL

NPI Status: Active since November 18, 2013

Contact Information

1154 S CLARK ST
CHICAGO, IL
ZIP 60605
Phone: (312) 212-6300

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  • Organization
  • Clinic/Center

About TARGET CLINIC

This page provides the complete NPI Profile along with additional information for Target Clinic, a provider established in Chicago, Illinois operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1023448644 assigned on November 2013. The practitioner's primary taxonomy code is 261Q00000X with license number 209010998 (IL). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Elizabeth Marie Jacobsma Apn, Fnp-c (Nurse Practitioner)

NPI
1023448644
Provider Name
TARGET CLINIC
Entity Type
Organization
Location Address
1154 S CLARK ST CHICAGO, IL 60605
Location Phone
(312) 212-6300
Mailing Address
4733 N CLARK ST APT 2N CHICAGO, IL 60640
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-18-2013
Last Update Date
11-19-2013
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
209010998
License State
IL
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

ELIZABETH MARIE JACOBSMA APN, FNP-C

Authorized Official Title
NURSE PRACTITIONER
Authorized Official Phone
(563) 505-3837

Reviews for TARGET CLINIC

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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.
1023448644
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2043841668
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 8 + 4 + 1 + 6 + 6 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1023448644 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255626818DR. KATHERYN NIEMEYER PHARMD
Individual
Pharmacist1154 S CLARK ST
CHICAGO, IL 60605
(312) 212-6301
1982971552 ANDREW T STARKMAN RPH
Individual
Pharmacist1154 S CLARK ST
CHICAGO, IL 60605
(312) 212-6301
1821367095 MINDY QIU PHARM.D
Individual
Pharmacist1154 S CLARK ST
CHICAGO, IL 60605
(312) 212-6201
1598167215 KARMEN K HO PHARM.D., RPH
Individual
Pharmacist1154 S CLARK ST
CHICAGO, IL 60605
(312) 212-6301
1639546062 CHRISTINE M MCKAY APRN FNP-BC
Individual
Nurse Practitioner (Family)1154 S CLARK ST
CHICAGO, IL 60605
(708) 388-5500
1598787202HIGHLAND PARK CVS LLC
Organization
Pharmacy1154 S CLARK ST
CHICAGO, IL 60605
(312) 212-6301
1043635436 ELIZABETH FLEMING
Individual
Nurse Practitioner (Family)1154 S CLARK ST
CHICAGO, IL 60605
(312) 212-6300
1518470509 JACQUELINE PAIGE ARANT
Individual
Nurse Practitioner (Family)1154 S CLARK ST
CHICAGO, IL 60605
(866) 389-2727
1992309603 NOUR MAATOUK
Individual
Pharmacist1154 S CLARK ST
CHICAGO, IL 60605
(312) 212-6301
1467056192 ALNOOR RASHID
Individual
Pharmacist1154 S CLARK ST
CHICAGO, IL 60605
(312) 212-6301
1851997373 SHERIN M JACOB
Individual
Pharmacist1154 S CLARK ST
CHICAGO, IL 60605
(312) 212-6301
1205343514MRS. NATASHA NICHELLE PAVLOVCIK FNP-BC, NP-C
Individual
Nurse Practitioner (Family)1154 S CLARK ST
CHICAGO, IL 60605
(866) 389-2727
1528490190 KEONYA GILLESPIE FNP
Individual
Nurse Practitioner (Family)1154 S CLARK ST
CHICAGO, IL 60605
(866) 389-2727
1730914292DR. RYAN KENNETH BOYER PHARMD
Individual
Pharmacist1154 S CLARK ST
CHICAGO, IL 60605
(312) 212-6301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023448644, enumerated in the NPI registry as an "organization" on November 18, 2013

The provider is located at 1154 S Clark St Chicago, Il 60605 and the phone number is (312) 212-6300

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on November 18, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.