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CENTER FOR ADULT HEALTHCARE SC NPI 1477708204


NPI Information

NPI: 1477708204
Provider Name: CENTER FOR ADULT HEALTHCARE SC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 14D0998991

Address:
303 E ARMY TRAIL RD
SUITE 301
BLOOMINGDALE, IL
ZIP 60108
Phone: (630) 893-0347
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CENTER FOR ADULT HEALTHCARE SC is an internal medicine in Bloomingdale, IL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. CENTER FOR ADULT HEALTHCARE SC NPI is 1477708204. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

303 E ARMY TRAIL RD
SUITE 301
BLOOMINGDALE, IL
ZIP 60108-169
Phone: (630) 893-0347
Fax: (630) 893-1467

The provider's authorized official is Mandeep S Kohli .
The authorized official title is President and has the following contact phone number (630) 893-0347.

The CLIA number assigned to this NPI record is 14D0998991 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/20/2008 and was last updated on 6/13/2019.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineILLINOISYes

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: 5/5/2024

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