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SOUTH LOOP ENDOSCOPY AND WELLNESS CENTER LLC NPI 1144593369


NPI Information

NPI: 1144593369
Provider Name: SOUTH LOOP ENDOSCOPY AND WELLNESS CENTER LLC
Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

Address:
2334 S WABASH AVE
CHICAGO, IL
ZIP 60616
Phone: (630) 889-9889
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SOUTH LOOP ENDOSCOPY AND WELLNESS CENTER LLC is an endoscopy clinic center in Chicago, IL. SOUTH LOOP ENDOSCOPY AND WELLNESS CENTER LLC NPI is 1144593369. The provider is registered as an organization entity type.

The provider's business location address is:

2334 S WABASH AVE
CHICAGO, IL
ZIP 60616-112
Phone: (630) 889-9889
Fax: (630) 889-8977

The provider's authorized official is David C Chua .
The authorized official title is President and has the following contact phone number (630) 889-9889.

The enumeration date for this NPI number is 2/18/2012 and was last updated on 2/18/2012.


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
1261QE0800XClinic/CenterEndoscopyYes

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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