ONE MAG MILE ASSOCIATES INC. NPI 1356553036

NPI Information

  • NPI: 1356553036
  • Provider Name: ONE MAG MILE ASSOCIATES, INC.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 11012 S WESTERN AVE
    CHICAGO, IL
    ZIP 60643
  • Phone: (773) 238-5300

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NPI Details

ONE MAG MILE ASSOCIATES, 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. ONE MAG MILE ASSOCIATES, INC. NPI is 1356553036. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11012 S WESTERN AVE
CHICAGO, IL
ZIP 60643
Phone: (773) 238-5300
Fax: (773) 238-5343

The provider's authorized official is Bhagwan T Shahani .
The authorized official title is President and has the following contact phone number (312) 587-9123.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 8/22/2020.

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
1174400000XSpecialistILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11635370OTHERILLINOISBLUE CROSS BLUE SHIELD

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: 11/21/2025

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