KIDZ HEALTH P.C. NPI 1104943406

NPI Information

NPI: 1104943406
Provider Name: KIDZ HEALTH P.C.
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 14D0684446

Address:
4655 NORTH ELSTON AVE
CHICAGO, IL
ZIP 60630
Phone: (773) 685-3288
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KIDZ HEALTH P.C. is a health service clinic center in Chicago, IL. KIDZ HEALTH P.C. NPI is 1104943406. The provider is registered as an organization entity type.

The provider's business location address is:

4655 NORTH ELSTON AVE
CHICAGO, IL
ZIP 60630-103
Phone: (773) 685-3288
Fax: (773) 685-7485

The provider's authorized official is Kamala Arabolu Ghaey .
The authorized official title is Director and has the following contact phone number (773) 685-3288.

The CLIA number assigned to this NPI record is 14D0684446 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/23/2007 and was last updated on 8/22/2020.

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	261QH0100X	Clinic/Center	Health Service		ILLINOIS	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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