UNIVERSITY PRIMARY CARE CLINIC AT MT MORRIS
NPI 1033157755
Family Medicine in Mt Morris, IL
NPI Status: Active since June 03, 2006
Contact Information
405 CHARLES ST
MT MORRIS, IL
ZIP 61054
Phone: (815) 734-6061
Fax: (815) 734-7033
- Organization
- Family Medicine
- Accepts Insurance
About UNIVERSITY PRIMARY CARE CLINIC AT MT MORRIS
This page provides the complete NPI Profile along with additional information for University Primary Care Clinic At Mt Morris, a primary care provider established in Mt Morris, Illinois operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1033157755 assigned on June 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. University Primary Care Clinic At Mt Morris operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as University Primary Care Clinic At Mt Morris. The authorized official of this NPI record is John Fitzhorn (Director Of Patient Accounts)
- NPI
- 1033157755
- Provider Legal Name
- BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
- Other Organization Name
- UNIVERSITY PRIMARY CARE CLINIC AT MT MORRIS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 405 CHARLES ST MT MORRIS, IL 61054
- Location Phone
- (815) 734-6061
- Location Fax
- (815) 734-7033
- Mailing Address
- 1601 PARKVIEW AVE S300 ROCKFORD, IL 61107
- Mailing Phone
- (815) 395-5892
- Mailing Fax
- (815) 734-7033
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-03-2006
- Last Update Date
- 09-10-2007
- Code Navigator
A primary care provider (PCP) like University Primary Care Clinic At Mt Morris sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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 |
|---|---|---|---|
| 375795 | MEDICARE ID-TYPE UNSPECIFIED (04) | IL | MEDICARE GROUP NUMBER |
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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. | |||||||||
| 1 | 0 | 3 | 3 | 1 | 5 | 7 | 7 | 5 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 6 | 3 | 2 | 5 | 14 | 7 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 6 + 3 + 2 + 5 + 1 + 4 + 7 + 1 + 0 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1033157755 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1225028350 | PATRICIA J NORDMAN N.P. Individual | Nurse Practitioner (Family) | 405 CHARLES ST UNIVERSITY PRIMARY CARE CLINIC @ MT MORRIS MOUNT MORRIS, IL 61054 (815) 734-6061 |
| 1356332498 | DR. LOYD J WOLLSTADT M.D. Individual | Internal Medicine | 405 CHARLES ST UNIVERSITY PRIMARY CARE CLINIC MT MORRIS MOUNT MORRIS, IL 61054 (815) 734-6061 |
| 1750357620 | DR. PHIL G ZIMMERMAN MD Individual | Family Medicine | 405 CHARLES ST MT MORRIS, IL 61054 (815) 734-6061 |
| 1396878930 | DR. ISAAC HEONSANG CHA PHARMD, BCPS, BCADM Individual | Pharmacist (Pharmacotherapy) | 405 CHARLES ST MOUNT MORRIS, IL 61054 (815) 734-6061 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033157755, enumerated in the NPI registry as an "organization" on June 03, 2006
The provider is located at 405 Charles St Mt Morris, Il 61054 and the phone number is (815) 734-6061
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Aetna CVS Health, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 03, 2006. 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].
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