OCCUPATIONAL HEALTH CENTERS OF ILLINOIS PC NPI 1255862892

NPI Information

NPI: 1255862892
Provider Name: OCCUPATIONAL HEALTH CENTERS OF ILLINOIS PC

Doing Business As: CONCENTRA MEDICAL CENTERS

Classification: Clinic/Center - 261QX0100X
Entity Type: Organization

Specialization: Occupational Medicine

Address:
6500 W 65TH ST
CHICAGO, IL
ZIP 60638
Phone: (708) 496-1515
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OCCUPATIONAL HEALTH CENTERS OF ILLINOIS PC is an occupational medicine clinic center in Chicago, IL. OCCUPATIONAL HEALTH CENTERS OF ILLINOIS PC NPI is 1255862892. The provider is registered as an organization entity type.
The provider Is Doing Business As Concentra Medical Centers.

The provider's business location address is:

6500 W 65TH ST
CHICAGO, IL
ZIP 60638-962
Phone: (708) 496-1515

The provider's authorized official is Raad Yaldo .
The authorized official title is President & Treasurer and has the following contact phone number (972) 364-8000.

The CLIA number assigned to this NPI record is 14D2163241 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/24/2017 and was last updated on 3/24/2017.

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	Primary
1	261QH0100X	Clinic/Center	Health Service	No
2	261QP2000X	Clinic/Center	Physical Therapy	No
3	261QX0100X	Clinic/Center	Occupational Medicine	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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