INTERNATIONAL MEDICAL ASSOCIATESSC NPI 1285754879

NPI Information

INTERNATIONAL MEDICAL ASSOCIATES,SC 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). INTERNATIONAL MEDICAL ASSOCIATES,SC NPI is 1285754879. The provider is registered as an organization entity type.

The provider's business location address is:

2551 N MILWAUKEE AVE
CHICAGO, IL
ZIP 60647-629
Phone: (773) 278-7024
Fax: (773) 278-6948

The provider's authorized official is Gonzalo Ruiz .
The authorized official title is President and has the following contact phone number (773) 278-7024.

The CLIA number assigned to this NPI record is 14D0888346 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 11/6/2014.

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:

Other Identifiers

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

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