CHICAGO MATERNAL FETAL MEDICINE SC NPI 1427587781

NPI Information

NPI: 1427587781
Provider Name: CHICAGO MATERNAL FETAL MEDICINE, SC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

CLIA Number: 14D1010648

Address:
2507 NORTH HALSTED STREET
CHICAGO, IL
ZIP 60614
Phone: (773) 348-8032
Get Directions

CHICAGO MATERNAL FETAL MEDICINE, SC is a professional counselor in Chicago, IL. CHICAGO MATERNAL FETAL MEDICINE, SC NPI is 1427587781. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2507 NORTH HALSTED STREET
CHICAGO, IL
ZIP 60614
Phone: (773) 348-8032
Fax: (773) 348-8042

The provider's authorized official is Nawar Hatoum .
The authorized official title is President and has the following contact phone number (773) 348-8032.

The CLIA number assigned to this NPI record is 14D1010648 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2017 and was last updated on 6/16/2018.

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	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	036085930	ILLINOIS	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: 11/14/2023

NPI Synchronization or Removal

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