Provida Health Center Sc
NPI 1881890333 · Family Medicine Physician · Gurnee, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provida Health Center Sc is a Family Medicine Physician organization in Gurnee, IL (NPI 1881890333).
Provider details
- NPI number
- 1881890333
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Luis Salazar, Authorized Official(847) 548-2200
- License
- 042616958 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Other names (DBA / former)
- Doing business as
- Provida Family Medicine
Registry dates
- Enumerated
- 2007-06-22
- Last updated
- 2024-01-31
- Certified
- 2024-01-31
Frequently asked questions
- What is Provida Health Center Sc's NPI number?
- Provida Health Center Sc's National Provider Identifier (NPI) is 1881890333, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provida Health Center Sc?
- Provida Health Center Sc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Provida Health Center Sc located?
- Provida Health Center Sc's practice location on file with NPPES is 1425 N Hunt Club Rd Ste 100, Gurnee, IL 60031.
- What is Provida Health Center Sc's phone number?
- The practice phone number listed in the NPPES registry for Provida Health Center Sc is (847) 548-2200.
- Does Provida Health Center Sc accept Medicare?
- Provida Health Center Sc 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 Provida Health Center Sc?
- The authorized official listed on Provida Health Center Sc's NPPES record is Luis Salazar, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provida Health Center Sc's NPI active?
- Yes — Provida Health Center Sc's NPI (1881890333) is active in the NPPES registry as of the last update on 2024-01-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.