WINDY CITY PEDIATRICS NPI 1366815250

NPI Information

NPI: 1366815250
Provider Name: WINDY CITY PEDIATRICS
Classification: Clinic/Center - 261QX0200X
Entity Type: Organization

Specialization: Oncology

Address:
3000 N HALSTED ST
SUITE 825
CHICAGO, IL
ZIP 60657
Phone: (773) 880-1075
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WINDY CITY PEDIATRICS is an oncology clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. WINDY CITY PEDIATRICS NPI is 1366815250. The provider is registered as an organization entity type.

The provider's business location address is:

3000 N HALSTED ST
SUITE 825
CHICAGO, IL
ZIP 60657-188
Phone: (773) 880-1075
Fax: (708) 424-1715

The provider's authorized official is Ayman Rawda .
The authorized official title is Doctor/owner and has the following contact phone number (773) 880-1075.

The enumeration date for this NPI number is 11/2/2015 and was last updated on 11/2/2015.

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
1	261QX0200X	Clinic/Center	Oncology	49012	MINNESOTA	Yes

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
1	036119517	MEDICAID	ILLINOIS

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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