Niles Medical S.C.
Clinic/Center in Niles, IL. Organization (NPI-2).
NPI number1043469372
StatusActive
Last updated in NPPESSep 10, 2008
Details
- NPI
- 1043469372
- Entity type
- Organization (NPI-2)
- Legal business name
- Niles Medical S.C.
- Organization subpart
- No
- Enumeration date
- Sep 10, 2008
- Last updated
- Sep 10, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 036054224 | IL | Yes |
Practice location
7157 W Howard StNiles, IL 60714-3757
Phone 847-647-1771 · Fax 847-647-5981
Mailing address
7157 W Howard StNiles, IL 60714-3757
Phone 847-647-1771 · Fax 847-647-5981
Authorized official
Edwin John Adamski
President
8476471771
Is something wrong?
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All 6 Clinic/Center providers in Niles · All 956 providers in Niles
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