Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Medaddress, SC

Organization Primary Care Clinic/Center · NPI 1205075942

The Medaddress, SC is a Primary Care Clinic/Center in Libertyville, Illinois. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

303 E Park Ave Ste 103
Libertyville, IL 60048-2898
Phone: (847) 522-7505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1205075942
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nina Maniquis — President · (847) 522-7505
NPI enumeratedFebruary 18, 2009
Last updated in NPPESMay 8, 2026
Certification dateMay 8, 2026
Mailing address303 E Park Ave, Ste 103, Libertyville, IL 60048-2872

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