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NAVA SEGALL MD SC NPI 1528233087


NPI Information

NPI: 1528233087
Provider Name: NAVA SEGALL MD SC
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 14D2000369

Address:
4116 N LINCOLN AVE
CHICAGO, IL
ZIP 60618
Phone: (773) 883-2350
Get Directions

NAVA SEGALL MD SC is an adolescent medicine pediatrics in Chicago, IL. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. NAVA SEGALL MD SC NPI is 1528233087. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4116 N LINCOLN AVE
CHICAGO, IL
ZIP 60618-028
Phone: (773) 883-2350
Fax: (773) 883-2351

The provider's authorized official is Nava Segall .
The authorized official title is President and has the following contact phone number (773) 883-2350.

The CLIA number assigned to this NPI record is 14D2000369 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2008 and was last updated on 12/22/2010.


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
12080A0000XPediatricsAdolescent Medicine036099451ILLINOISYes

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
10360999451MEDICAIDILLINOIS
2036099451OTHERILLINOISBLUE CROSS AND BLUE SHIELD

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.