NECK TO BACK LAKE COUNTY LLC
NPI 1750506077
Clinic/Center - Emergency Care in Lake Bluff, IL

NPI Status: Active since April 13, 2007

Contact Information

71 WAUKEGAN RD
SUITE 100
LAKE BLUFF, IL
ZIP 60044
Phone: (847) 283-0950
Fax: (847) 283-0951

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  • Organization
  • Clinic/Center
  • Emergency Care

About NECK TO BACK LAKE COUNTY LLC

This page provides the complete NPI Profile along with additional information for Neck To Back Lake County Llc, a provider established in Lake Bluff, Illinois operating as a Clinic/center, focusing in emergency care . The healthcare provider is registered in the NPI registry with number 1750506077 assigned on April 2007. The practitioner's primary taxonomy code is 261QE0002X with license number 036-104819 (IL). The provider is registered as an organization and their NPI record was last updated 17 years ago. Neck To Back Lake County Llc 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. David Serafini M.d. (Medical Director)

NPI
1750506077
Provider Name
NECK TO BACK LAKE COUNTY LLC
Entity Type
Organization
Location Address
71 WAUKEGAN RD SUITE 100 LAKE BLUFF, IL 60044
Location Phone
(847) 283-0950
Location Fax
(847) 283-0951
Mailing Address
7177 CRIMSON RIDGE DR SUITE 14 ROCKFORD, IL 61107
Mailing Phone
(815) 227-9900
Mailing Fax
(847) 283-0951
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-13-2007
Last Update Date
05-01-2008
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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 Emergency Care

Taxonomy Code
261QE0002X
Type
Ambulatory Health Care Facilities
License No.
036-104819
License State
IL

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1111N00000XChiropractic Providers

Chiropractor

038010204 (IL)
2207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

036104819 (IL)

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:

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.

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

DR. DAVID SERAFINI M.D.

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(847) 283-0950

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
E62142MEDICARE UPIN (02)IL 

Reviews for NECK TO BACK LAKE COUNTY LLC

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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.
1750506077
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2710010012014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 0 + 0 + 1 + 2 + 0 + 1 + 4 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 77

The NPI number 1750506077 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 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1669513982LAWRENCE A SHORT DPM LTD
Organization
Podiatrist71 WAUKEGAN RD SUITE 200
LAKE BLUFF, IL 60044
(847) 295-9300
1316448939 TOVA PRICE
Individual
Physician Assistant71 WAUKEGAN RD
LAKE BLUFF, IL 60044
(847) 663-8060
1811520117 CAITLIN M MCENERNEY FNP-BC
Individual
Nurse Practitioner71 WAUKEGAN RD
LAKE BLUFF, IL 60044
(847) 295-8500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750506077, enumerated in the NPI registry as an "organization" on April 13, 2007

The provider is located at 71 Waukegan Rd Suite 100 Lake Bluff, Il 60044 and the phone number is (847) 283-0950

This medical organization specializes in Clinic/Center with taxonomy code 261QE0002X with a focus in Emergency Care

The provider might be accepting Accepts: 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 April 13, 2007. 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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