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GREAT LAKES EMERGENCY PHYSICIANS MEDICAL GROUP SC NPI 1689212581


NPI Information

NPI: 1689212581
Provider Name: GREAT LAKES EMERGENCY PHYSICIANS MEDICAL GROUP SC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
7531 S STONY ISLAND AVE
CHICAGO, IL
ZIP 60649
Phone: (773) 947-7500
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GREAT LAKES EMERGENCY PHYSICIANS MEDICAL GROUP SC is an emergency medicine in Chicago, IL. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. GREAT LAKES EMERGENCY PHYSICIANS MEDICAL GROUP SC NPI is 1689212581. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7531 S STONY ISLAND AVE
CHICAGO, IL
ZIP 60649-954
Phone: (773) 947-7500

The provider's authorized official is Steven Peter Maron .
The authorized official title is Md and has the following contact phone number (925) 225-5837.

The enumeration date for this NPI number is 12/11/2019 and was last updated on 11/30/2023.


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
1207P00000XEmergency MedicineYes

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.