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Contact Information

SIGNATURE MEDICAL CLINIC LLC
1717 W ALGONQUIN RD
MOUNT PROSPECT, IL60056-5401
 Phone: 224-404-1338
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for SIGNATURE MEDICAL CLINIC LLC

NPI Number 1558995779
LBN Legal business name SIGNATURE MEDICAL CLINIC LLC
Authorized official ARLETTA DE VRIES - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/26/2020
Last updated 04/28/2026 - About a month ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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