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THE MONTROSE MEDICAL GROUP LLC NPI 1679892889


NPI Information

NPI: 1679892889
Provider Name: THE MONTROSE MEDICAL GROUP, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4757 W MONTROSE AVE
CHICAGO, IL
ZIP 60641
Phone: (773) 777-2620
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THE MONTROSE MEDICAL GROUP, LLC is a family medicine in Chicago, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. THE MONTROSE MEDICAL GROUP, LLC NPI is 1679892889. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

4757 W MONTROSE AVE
CHICAGO, IL
ZIP 60641-504
Phone: (773) 777-2620
Fax: (773) 777-3030

The provider's authorized official is Theodore Sidney Wright .
The authorized official title is Medical Director and has the following contact phone number (773) 777-2620.

The enumeration date for this NPI number is 5/27/2010 and was last updated on 5/27/2010.


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
12083X0100XPreventive MedicineOccupational Medicine036065761ILLINOISNo
2207Q00000XFamily Medicine036065761ILLINOISYes

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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