Provider Type Icon

CHICAGO COMMUNITY MEDICAL CENTER NPI 1306851233


NPI Information

NPI: 1306851233
Provider Name: CHICAGO COMMUNITY MEDICAL CENTER
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2404 EAST 79TH ST
CHICAGO, IL
ZIP 60649
Phone: (773) 978-5900
Get Directions

CHICAGO COMMUNITY MEDICAL CENTER is a family medicine in Chicago, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CHICAGO COMMUNITY MEDICAL CENTER NPI is 1306851233. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2404 EAST 79TH ST
CHICAGO, IL
ZIP 60649-112
Phone: (773) 978-5900
Fax: (773) 978-7656

The provider's authorized official is Prem Lata Paul .
The authorized official title is Treasurer and has the following contact phone number (773) 978-5900.

The enumeration date for this NPI number is 7/29/2006 and was last updated on 8/22/2020.


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
1207Q00000XFamily MedicineILLINOISYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.