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CIRCLE MEDICAL MANAGEMENT INC. NPI 1184636516


NPI Information

NPI: 1184636516
Provider Name: CIRCLE MEDICAL MANAGEMENT, INC.
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 14D2166176

Address:
1426 W WASHINGTON BLVD
CHICAGO, IL
ZIP 60607
Phone: (312) 829-1424
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CIRCLE MEDICAL MANAGEMENT, INC. is a specialist in Chicago, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CIRCLE MEDICAL MANAGEMENT, INC. NPI is 1184636516. The provider is registered as an organization entity type.

The provider's business location address is:

1426 W WASHINGTON BLVD
CHICAGO, IL
ZIP 60607-821
Phone: (312) 829-1424
Fax: (312) 850-8431

The provider's authorized official is Kimberly Chew .
The authorized official title is Billing Supersivor and has the following contact phone number (312) 829-1424.

The CLIA number assigned to this NPI record is 14D2166176 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2006 and was last updated on 5/19/2016.


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
1261QE0700XClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment36061118ILLINOISNo
2174400000XSpecialist36061118ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========OTHERILLINOISUDED FOR COMM INS
2142540MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE PROVIDER NUMBER
3=========001MEDICAIDILLINOIS

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.