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LITTLE VILLAGE WOMENS HEALTH LLC NPI 1174753735


NPI Information

NPI: 1174753735
Provider Name: LITTLE VILLAGE WOMENS HEALTH LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 14D2285879

Address:
4230 W 26TH ST
CHICAGO, IL
ZIP 60623
Phone: (773) 277-2227
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LITTLE VILLAGE WOMENS HEALTH LLC is a clinic center in Chicago, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). LITTLE VILLAGE WOMENS HEALTH LLC NPI is 1174753735. The provider is registered as an organization entity type.

The provider's business location address is:

4230 W 26TH ST
CHICAGO, IL
ZIP 60623-316
Phone: (773) 277-2227
Fax: (773) 522-5613

The provider's authorized official is Sonya Letrece Thomas .
The authorized official title is Director and has the following contact phone number (773) 277-2227.

The CLIA number assigned to this NPI record is 14D2285879 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2009 and was last updated on 11/17/2010.


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
1261QH0100XClinic/CenterHealth Service036093278ILLINOISNo
2261Q00000XClinic/Center036093278ILLINOISYes

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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