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CMJ MEDICAL ENTERPRISES LTD NPI 1366562043


NPI Information

NPI: 1366562043
Provider Name: CMJ MEDICAL ENTERPRISES LTD

Doing Business As: CLAUDE MANDEL MEDICAL CENTER

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
8507 S STONY ISLAND AVE
CHICAGO, IL
ZIP 60617
Phone: (773) 978-1400
Get Directions

CMJ MEDICAL ENTERPRISES LTD is a gastroenterology internal medicine in Chicago, IL. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. CMJ MEDICAL ENTERPRISES LTD NPI is 1366562043. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Claude Mandel Medical Center.

The provider's business location address is:

8507 S STONY ISLAND AVE
CHICAGO, IL
ZIP 60617-247
Phone: (773) 978-1400
Fax: (773) 978-4389

The provider's authorized official is Claudia Johnson .
The authorized official title is Medical Director, President and has the following contact phone number (773) 978-1400.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 11/26/2019.


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
1207RG0100XInternal MedicineGastroenterology036057668IDAHOYes

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
11626621OTHERILLINOISBCBS
236057668MEDICAIDILLINOIS

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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