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PATHWAY HEALTH SERVICES LLC NPI 1043445935


NPI Information

NPI: 1043445935
Provider Name: PATHWAY HEALTH SERVICES LLC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
5544 N WESTERN AVE
CHICAGO, IL
ZIP 60625
Phone: (773) 561-5400
Get Directions

PATHWAY HEALTH SERVICES LLC is a neurology psychiatry neurology in Chicago, IL. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. PATHWAY HEALTH SERVICES LLC NPI is 1043445935. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5544 N WESTERN AVE
CHICAGO, IL
ZIP 60625-217
Phone: (773) 561-5400
Fax: (773) 561-5402

The provider's authorized official is Joel S Mostow .
The authorized official title is Owner and has the following contact phone number (773) 561-5400.

The enumeration date for this NPI number is 5/20/2009 and was last updated on 5/20/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology036084695ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1036084695MEDICAIDILLINOIS
2F48886MEDICARE UPINILLINOIS
3202874MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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