CENTRAL ADDISON MEDICAL GROUP LLC NPI 1316006422

NPI Information

NPI: 1316006422
Provider Name: CENTRAL ADDISON MEDICAL GROUP LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
5645 W ADDISON ST
CHICAGO, IL
ZIP 60634
Phone: (847) 685-9326
Get Directions

CENTRAL ADDISON MEDICAL GROUP LLC is a cardiovascular disease internal medicine in Chicago, IL. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. CENTRAL ADDISON MEDICAL GROUP LLC NPI is 1316006422. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5645 W ADDISON ST
CHICAGO, IL
ZIP 60634-403
Phone: (847) 685-9326

The provider's authorized official is David Fishman .
The authorized official title is Principal Partner and has the following contact phone number (847) 685-9326.

The enumeration date for this NPI number is 12/6/2006 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

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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