SAINT ANTHONY HEALTH AFFILIATES NPI 1295757771

NPI Information

NPI: 1295757771
Provider Name: SAINT ANTHONY HEALTH AFFILIATES
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 14D0970156

Address:
4192 S ARCHER AVE
CHICAGO, IL
ZIP 60632
Phone: (773) 254-2222
Get Directions

SAINT ANTHONY HEALTH AFFILIATES is a multi-specialty clinic center in Chicago, IL. SAINT ANTHONY HEALTH AFFILIATES NPI is 1295757771. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4192 S ARCHER AVE
CHICAGO, IL
ZIP 60632-850
Phone: (773) 254-2222
Fax: (773) 484-8444

The provider's authorized official is Guy A Medaglia .
The authorized official title is President/ceo, Authorized Official and has the following contact phone number (773) 484-1000.

The CLIA number assigned to this NPI record is 14D0970156 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/24/2006 and was last updated on 3/15/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207Q00000X	Family Medicine		No
2	207R00000X	Internal Medicine		No
3	207RI0011X	Internal Medicine	Interventional Cardiology	No
4	207V00000X	Obstetrics & Gynecology		No
5	207X00000X	Orthopaedic Surgery		No
6	208000000X	Pediatrics		No
7	2083X0100X	Preventive Medicine	Occupational Medicine	No
8	261QM1300X	Clinic/Center	Multi-Specialty	Yes
9	261QP2000X	Clinic/Center	Physical Therapy	No
10	363LP2300X	Nurse Practitioner	Primary Care	No
11	367A00000X	Advanced Practice Midwife		No

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

NPI Synchronization or Removal

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