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OMNI HEALTH PC NPI 1518244573


NPI Information

NPI: 1518244573
Provider Name: OMNI HEALTH PC

Doing Business As: LINCOLN SQUARE MEDICAL CENTER

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2501 W LAWRENCE AVE
SUITE C
CHICAGO, IL
ZIP 60625
Phone: (773) 989-3344
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OMNI HEALTH PC is a pediatrics in Chicago, IL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. OMNI HEALTH PC NPI is 1518244573. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lincoln Square Medical Center.

The provider's business location address is:

2501 W LAWRENCE AVE
SUITE C
CHICAGO, IL
ZIP 60625-958
Phone: (773) 989-3344
Fax: (773) 989-8458

The provider's authorized official is Zaki Siddiqui .
The authorized official title is M.d and has the following contact phone number (773) 989-3344.

The enumeration date for this NPI number is 11/4/2011 and was last updated on 11/4/2011.


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
1207Q00000XFamily Medicine036122637ILLINOISNo
22080P0008XPediatricsNeurodevelopmental Disabilities036126888ILLINOISNo
3208000000XPediatrics036100955ILLINOISYes

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
1IL2760MEDICARE UPINILLINOIS
2036100955MEDICAIDILLINOIS

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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