MISERICORDIA HOME NPI 1093350134

NPI Information

NPI: 1093350134
Provider Name: MISERICORDIA HOME
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
6300 N RIDGE AVE
CHICAGO, IL
ZIP 60660
Phone: (773) 973-6300
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MISERICORDIA HOME is a dental clinic center in Chicago, IL. MISERICORDIA HOME NPI is 1093350134. The provider is registered as an organization entity type.

The provider's business location address is:

6300 N RIDGE AVE
CHICAGO, IL
ZIP 60660-017
Phone: (773) 973-6300

The provider's authorized official is Steve Schueth .
The authorized official title is Controller and has the following contact phone number (773) 273-4191.

The enumeration date for this NPI number is 11/13/2019 and was last updated on 11/13/2019.

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	261QD0000X	Clinic/Center	Dental			Yes

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

NPI Synchronization or Removal

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