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GOLD COAST OSTEOPATHIC PSC NPI 1750733788


NPI Information

NPI: 1750733788
Provider Name: GOLD COAST OSTEOPATHIC, PSC
Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
Entity Type: Organization
Address:
680 N LAKE SHORE DR STE 1040
CHICAGO, IL
ZIP 60611
Phone: (773) 554-6055
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GOLD COAST OSTEOPATHIC, PSC is a neuromusculoskeletal medicine omm in Chicago, IL. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. GOLD COAST OSTEOPATHIC, PSC NPI is 1750733788. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

680 N LAKE SHORE DR STE 1040
CHICAGO, IL
ZIP 60611-718
Phone: (773) 554-6055

The provider's authorized official is Aida Beckerly .
The authorized official title is President and has the following contact phone number (773) 554-6055.

The enumeration date for this NPI number is 7/1/2016 and was last updated on 9/13/2016.


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 MedicineNo
2204D00000XNeuromusculoskeletal Medicine & OMMYes

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
11508188111MEDICARE NSCILLINOIS
21568816254OTHERILLINOISILLINOIS STATE

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: 11/14/2023

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