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COLMED CLINIC LTD NPI 1194380147


NPI Information

NPI: 1194380147
Provider Name: COLMED CLINIC LTD
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
3615 N ASHLAND AVE APT 1N
CHICAGO, IL
ZIP 60613
Phone: (773) 770-6300
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COLMED CLINIC LTD is a clinic center in Chicago, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). COLMED CLINIC LTD NPI is 1194380147. The provider is registered as an organization entity type.

The provider's business location address is:

3615 N ASHLAND AVE APT 1N
CHICAGO, IL
ZIP 60613-742
Phone: (773) 770-6300
Fax: (773) 665-5007

The provider's authorized official is Wayne Meyers .
The authorized official title is Office Manager and has the following contact phone number (773) 770-6300.

The enumeration date for this NPI number is 5/6/2019 and was last updated on 5/6/2019.


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
1261Q00000XClinic/CenterYes

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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