ADDISON MEDICAL SQUARE, LTD.
NPI 1720348774
Internal Medicine in Addison, IL
NPI Status: Active since May 24, 2012
Contact Information
276 W FULLERTON AVE
ADDISON, IL
ZIP 60101
Phone: (630) 543-5454
Fax: (630) 543-5471
- Organization
- Internal Medicine
- CLIA Number: 14D0971586
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-15-2026
About ADDISON MEDICAL SQUARE, LTD.
This page provides the complete NPI Profile along with additional information for Addison Medical Square, Ltd., an internist established in Addison, Illinois operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1720348774 assigned on May 2012. The practitioner's primary taxonomy code is 207R00000X with license number 036067984 (IL). The provider is registered as an organization and their NPI record was last updated 13 years ago. Addison Medical Square, Ltd. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Mohammed M Saeed M.d. (Internal Medicine)
- NPI
- 1720348774
- Provider Name
- ADDISON MEDICAL SQUARE, LTD.
- Entity Type
- Organization
- Location Address
- 276 W FULLERTON AVE ADDISON, IL 60101
- Location Phone
- (630) 543-5454
- Location Fax
- (630) 543-5471
- Mailing Address
- 276 W FULLERTON AVE ADDISON, IL 60101
- Mailing Phone
- (630) 543-5454
- Mailing Fax
- (630) 543-5471
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-24-2012
- Last Update Date
- 05-24-2012
- Code Navigator
An internist like Addison Medical Square, Ltd. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 036067984
- License State
- IL
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D0971586
- Facility Type
- Physician Office
- Certificate Effective Date
- March 16, 2024
- Certificate Expiration Date
- March 15, 2026
- Laboratory Director
- MOHAMMED M. SAEED
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Addison Medical Square, Ltd. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 7 | 2 | 0 | 3 | 4 | 8 | 7 | 7 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 6 | 4 | 16 | 7 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 6 + 4 + 1 + 6 + 7 + 1 + 4 + 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 = 4 | 4 | ||||||||
The NPI number 1720348774 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 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1538205695 | DR. IMAAD SHAIKH DDS Individual | Dentist (General Practice) | 276 W FULLERTON AVE ADDISON, IL 60101 (630) 628-8884 |
| 1992823926 | DR. JIGNASA PATEL D.C Individual | Chiropractor | 276 W FULLERTON AVE ADDISON, IL 60101 (630) 543-5454 |
| 1023211224 | ADDISON MEDICAL ASSOCIATES LTD Organization | Internal Medicine | 276 W FULLERTON AVE ADDISON, IL 60101 (630) 543-5454 |
| 1073711834 | DR. NEERJA AGGARWAL DDS Individual | Dentist (General Practice) | 276 W FULLERTON AVE ADDISON, IL 60101 (630) 628-8884 |
| 1730340779 | ACCESS DENTAL CENTER Organization | Dentist (General Practice) | 276 W FULLERTON AVE ADDISON, IL 60101 (630) 628-8884 |
| 1942289764 | DR. RICHARD V DIRKES MD Individual | Family Medicine | 276 W FULLERTON AVE ADDISON MEDICAL ASSOACIATES ADDISON, IL 60101 (630) 543-5454 |
| 1821460403 | LIFECARE PHARMACY Organization | Pharmacy (Community/Retail Pharmacy) | 276 W FULLERTON AVE ADDISON, IL 60101 (630) 543-1000 |
| 1053939199 | DR. ZOYA SHAIKH DMD Individual | Dentist (General Practice) | 276 W FULLERTON AVE ADDISON, IL 60101 (630) 628-8884 |
| 1285923524 | DR. SABA N SAEED M.D. Individual | Psychiatry & Neurology (Neurology) | 276 W FULLERTON AVE ADDISON, IL 60101 (630) 543-5454 |
| 1962135202 | MALGORZATA TRETOWICZ APRN Individual | Nurse Practitioner | 276 W FULLERTON AVE ADDISON, IL 60101 (630) 335-1987 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720348774, enumerated in the NPI registry as an "organization" on May 24, 2012
The provider is located at 276 W Fullerton Ave Addison, Il 60101 and the phone number is (630) 543-5454
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider's CLIA number is 14D0971586 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 24, 2012. 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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