The Medaddress, S.c.
NPI 1205075942 · Primary Care Clinic/Center · Libertyville, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
The Medaddress, S.c. is a Primary Care Clinic/Center organization in Libertyville, IL (NPI 1205075942).
Provider details
- NPI number
- 1205075942
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nina Maniquis, President(847) 522-7505
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-02-18
- Last updated
- 2026-05-08
- Certified
- 2026-05-08
Frequently asked questions
- What is The Medaddress, S.c.'s NPI number?
- The Medaddress, S.c.'s National Provider Identifier (NPI) is 1205075942, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Medaddress, S.c.?
- The Medaddress, S.c. is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is The Medaddress, S.c. located?
- The Medaddress, S.c.'s practice location on file with NPPES is 303 E Park Ave, Libertyville, IL 60048-2898.
- What is The Medaddress, S.c.'s phone number?
- The practice phone number listed in the NPPES registry for The Medaddress, S.c. is (847) 522-7505.
- Does The Medaddress, S.c. accept Medicare?
- The Medaddress, S.c. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for The Medaddress, S.c.?
- The authorized official listed on The Medaddress, S.c.'s NPPES record is Nina Maniquis, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Medaddress, S.c.'s NPI active?
- Yes — The Medaddress, S.c.'s NPI (1205075942) is active in the NPPES registry as of the last update on 2026-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.