MAYUGA MEDICAL PRACTICE – Cardiovascular Disease Physician, NPI 1396789053

MAYUGA MEDICAL PRACTICE is a healthcare provider. based in Darien, Illinois. specializing in Cardiovascular Disease Physician. The organization holds a License No. 036075687 (IL). The NPI Number for MAYUGA MEDICAL PRACTICE is 1396789053

Main info

Organization
Name
MAYUGA MEDICAL PRACTICE
NPI
1396789053
Phone
(847) 676-0091
Address
18W 163 HOLLY AVE
Authorized Official
RUPERTO MAYUGA PRESIDENT M.D.
Enumeration Date
15 June 2006
Last Update Date
25 March 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MAYUGA MEDICAL PRACTICE

  • 18W 163 HOLLY AVE

    DARIEN, IL 60561

    Phone: (847) 676-0091

    Fax: (847) 676-2374

    Type: Mailing

  • Howard Brown Health Diversey, 2800, North Sheridan Road, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60657, United States

    SUITE303

    CHICAGO, IL 606576156

    Phone: (773) 281-7660

    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 60561)

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Reviews

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Frequently asked questions

How is MAYUGA MEDICAL PRACTICE identified in CMS data?
CMS-hosted NPPES data lists MAYUGA MEDICAL PRACTICE with NPI 1396789053.
Can I rely on MAYUGA MEDICAL PRACTICE being an active provider?
As of the registry snapshot, MAYUGA MEDICAL PRACTICE is marked active.
What is MAYUGA MEDICAL PRACTICE's specialty?
The listing groups MAYUGA MEDICAL PRACTICE with Cardiovascular Disease Physician. Clinical services aligned with this taxonomy classification.
Where should I expect MAYUGA MEDICAL PRACTICE on a map?
Expect Darien, Illinois as a primary anchor for MAYUGA MEDICAL PRACTICE unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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