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ENDOCRINOLOGY CONSULTS AND CARE SERVICE CORPORATION NPI 1366843682


NPI Information

NPI: 1366843682
Provider Name: ENDOCRINOLOGY CONSULTS AND CARE SERVICE CORPORATION

Doing Business As: ENDOCRINOLOGY CONSULTS AND CARE SERVICE CORPORATION

Classification: Internal Medicine - 207RE0101X
Entity Type: Organization

Specialization: Endocrinology, Diabetes & Metabolism

Address:
3048 W PETERSON AVE
CHICAGO, IL
ZIP 60659
Phone: (773) 381-0517
Get Directions

ENDOCRINOLOGY CONSULTS AND CARE SERVICE CORPORATION is an endocrinology and diabetes and metabolism internal medicine in Chicago, IL. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. ENDOCRINOLOGY CONSULTS AND CARE SERVICE CORPORATION NPI is 1366843682. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Endocrinology Consults And Care Service Corporation.

The provider's business location address is:

3048 W PETERSON AVE
CHICAGO, IL
ZIP 60659-720
Phone: (773) 381-0517
Fax: (773) 381-0617

The provider's authorized official is Susan Shapiro Braithwaite .
The authorized official title is President and has the following contact phone number (847) 906-4910.

The enumeration date for this NPI number is 9/5/2014 and was last updated on 3/1/2016.


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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

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
1F100165220OTHERILLINOISMEDICARE ID

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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