Village Medical - Nokomis – Family Medicine Physician, NPI 1396488664

Village Medical - Nokomis is a healthcare provider. based in Chicago, Illinois. specializing in Family Medicine Physician. The NPI Number for Village Medical - Nokomis is 1396488664

Main info

Organization
Name
Village Medical - Nokomis
NPI
1396488664
Phone
(270) 759-9200
Address
125 S CLARK ST STE 900
Authorized Official
REBECCA RAGER DIRECTOR REVENUE CYCLE
Enumeration Date
15 April 2022
Last Update Date
14 January 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness80
Years active:4State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Village Medical - Nokomis

  • 125 S CLARK ST STE 900

    CHICAGO, IL 606034043

    Phone: (270) 759-9200

    Type: Mailing

  • 4650 WESTWAY PARK BLVD STE 206

    HOUSTON, TX 770412006

    Phone:

    Type: Mailing

  • 1110 TAMIAMI TRL N

    NOKOMIS, FL 34275

    Phone: (407) 798-8800

    Fax: (813) 336-8321

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60603)

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Reviews

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Frequently asked questions

What is the standard ID for Village Medical - Nokomis in the U.S.?
In the U.S., Village Medical - Nokomis is identified by NPI 1396488664.
Does the public listing show Village Medical - Nokomis as active?
Village Medical - Nokomis's NPI record reflects an active status in NPPES.
What services align with Village Medical - Nokomis's listing?
Village Medical - Nokomis's public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Village Medical - Nokomis?
Village Medical - Nokomis is associated with Chicago, Illinois in the same public data insurers reference.
Who maintains Village Medical - Nokomis's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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