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ILLIANA PHYSICIANS GROUP NPI 1134145493


NPI Information

NPI: 1134145493
Provider Name: ILLIANA PHYSICIANS GROUP

Doing Business As: ILLIANA MEDICAL CENTER

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
3550 E 118TH ST
CHICAGO, IL
ZIP 60617
Phone: (773) 646-9800
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ILLIANA PHYSICIANS GROUP is a medical specialty clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ILLIANA PHYSICIANS GROUP NPI is 1134145493. The provider is registered as an organization entity type.
The provider Is Doing Business As Illiana Medical Center.

The provider's business location address is:

3550 E 118TH ST
CHICAGO, IL
ZIP 60617-314
Phone: (773) 646-9800
Fax: (773) 646-9801

The provider's authorized official is Ossama Hosney Zorub .
The authorized official title is Owner and has the following contact phone number (773) 646-9800.

The enumeration date for this NPI number is 7/13/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM2500XClinic/CenterMedical SpecialtyILLINOISYes

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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