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SAN PABLO MEDICAL CENTER LTD. NPI 1548323330


NPI Information

NPI: 1548323330
Provider Name: SAN PABLO MEDICAL CENTER, LTD.

Doing Business As: NORTH AVENUE PHYSICIANS CENTER, DIVISION PHYSICIANS CENTER

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
2641 W DIVISION ST
CHICAGO, IL
ZIP 60622
Phone: (773) 227-3500
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SAN PABLO MEDICAL CENTER, LTD. is an internal medicine in Chicago, 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. SAN PABLO MEDICAL CENTER, LTD. NPI is 1548323330. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As North Avenue Physicians Center, Division Physicians Center.

The provider's business location address is:

2641 W DIVISION ST
CHICAGO, IL
ZIP 60622-851
Phone: (773) 227-3500
Fax: (773) 227-0432

The provider's authorized official is Amer Rustum .
The authorized official title is Owner and has the following contact phone number (773) 227-3500.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 11/29/2012.


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
1207R00000XInternal Medicine036083101ILLINOISYes

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
1207451MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
200732012OTHERILLINOISBCBS
3DG4681OTHERILLINOISPALMETTO GBA

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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