PRESTIGE MEDICAL GROUP LLC
NPI 1801476502
Clinic/Center - Health Service in Orland Park, IL

NPI Status: Active since April 08, 2021

Contact Information

8800 W 159TH ST
ORLAND PARK, IL
ZIP 60462
Phone: (708) 942-6843

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  • Organization
  • Clinic/Center
  • Health Service

About PRESTIGE MEDICAL GROUP LLC

This page provides the complete NPI Profile along with additional information for Prestige Medical Group Llc, a provider established in Orland Park, Illinois operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1801476502 assigned on April 2021. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Anna Skobel (Ceo)

NPI
1801476502
Provider Name
PRESTIGE MEDICAL GROUP LLC
Entity Type
Organization
Location Address
8800 W 159TH ST ORLAND PARK, IL 60462
Location Phone
(708) 942-6843
Mailing Address
300 N VINE ST UNIT 614 NEW LENOX, IL 60451
Mailing Phone
(708) 942-6843
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-08-2021
Last Update Date
04-13-2021
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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 Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

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)
1261QC1500XAmbulatory Health Care Facilities

Clinic/Center
Community Health

 
2291U00000XLaboratories

Clinical Medical Laboratory

 

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

ANNA SKOBEL

Authorized Official Title
CEO
Authorized Official Phone
(708) 942-6843

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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.
1801476502
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2801871250
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 0 + 1 + 8 + 7 + 1 + 2 + 5 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1801476502 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801476502, enumerated in the NPI registry as an "organization" on April 08, 2021

The provider is located at 8800 W 159th St Orland Park, Il 60462 and the phone number is (708) 942-6843

This medical organization specializes in Clinic/Center with taxonomy code 261QH0100X with a focus in Health Service

This NPI record was last updated on April 08, 2021. 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.