ACCREDITED AMBULATORY CARE LLC NPI 1174837082

NPI Information

NPI: 1174837082
Provider Name: ACCREDITED AMBULATORY CARE, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 14D2013909

Address:
467 W ERIE ST
CHICAGO, IL
ZIP 60654
Phone: (312) 943-7246
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ACCREDITED AMBULATORY CARE, LLC is an ambulatory surgical clinic center in Chicago, IL. ACCREDITED AMBULATORY CARE, LLC NPI is 1174837082. The provider is registered as an organization entity type.

The provider's business location address is:

467 W ERIE ST
CHICAGO, IL
ZIP 60654-704
Phone: (312) 943-7246

The provider's authorized official is Joshua Hedman .
The authorized official title is Owner and has the following contact phone number (312) 943-7246.

The CLIA number assigned to this NPI record is 14D2013909 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2010 and was last updated on 7/31/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			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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