DR. EDUARDO NERA MADAMBA M.D. NPI 1821057795

NPI Information

NPI: 1821057795
Provider Name: DR. EDUARDO NERA MADAMBA, M.D.
Classification: Obstetrics & Gynecology - 207VX0000X
Entity Type: Individual

Specialization: Obstetrics

PECOS Registration: Yes

Address:
1431 N WESTERN AVE
SUITE 203
CHICAGO, IL
ZIP 60622
Phone: (773) 278-1222
Get Directions

DR. Eduardo Nera Madamba, M.D. is an obstetrics obstetrics gynecology in Chicago, IL. The provider is a physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee DR. Eduardo Nera Madamba, M.D. NPI is 1821057795. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1431 N WESTERN AVE
SUITE 203
CHICAGO, IL
ZIP 60622-797
Phone: (773) 278-1222
Fax: (773) 278-4598

The NPI 1821057795 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/21/2006 and was last updated on 4/6/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207VG0400X	Obstetrics & Gynecology	Gynecology	036047978	ILLINOIS	No
2	207VX0000X	Obstetrics & Gynecology	Obstetrics	036047978	ILLINOIS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	036047978	MEDICAID	ILLINOIS
2	0021604377	OTHER	ILLINOIS	BLUE CROSS 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

NPI Synchronization or Removal

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