VIVA ADVANCED HEALTHCARE ILLINOIS NPI 1417427766

NPI Information

NPI: 1417427766
Provider Name: VIVA ADVANCED HEALTHCARE ILLINOIS
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
6230 N KENMORE AVE
CHICAGO, IL
ZIP 60660
Phone: (414) 467-8884
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VIVA ADVANCED HEALTHCARE ILLINOIS is a multi-specialty clinic center in Chicago, IL. VIVA ADVANCED HEALTHCARE ILLINOIS NPI is 1417427766. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6230 N KENMORE AVE
CHICAGO, IL
ZIP 60660-167
Phone: (414) 467-8884
Fax: (414) 435-3126

The provider's authorized official is Karina Chelsky .
The authorized official title is Administrator and has the following contact phone number (414) 467-8884.

The enumeration date for this NPI number is 11/29/2018 and was last updated on 11/29/2018.

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	261QP2300X	Clinic/Center	Primary Care	No
3	261QM1300X	Clinic/Center	Multi-Specialty	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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