ENDOPEAK SC NPI 1376917344

NPI Information

NPI: 1376917344
Provider Name: ENDOPEAK SC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
836 W WELLINGTON AVE
OFFICE 4411
CHICAGO, IL
ZIP 60657
Phone: (267) 324-8862
Get Directions

ENDOPEAK SC is a medical specialty 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 a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ENDOPEAK SC NPI is 1376917344. The provider is registered as an organization entity type.

The provider's business location address is:

836 W WELLINGTON AVE
OFFICE 4411
CHICAGO, IL
ZIP 60657-147
Phone: (267) 324-8862

The provider's authorized official is Evgenia Korytnaya .
The authorized official title is Ceo and has the following contact phone number (267) 324-8862.

The enumeration date for this NPI number is 11/13/2015 and was last updated on 11/13/2015.

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	261QM2500X	Clinic/Center	Medical Specialty	036.138259	ILLINOIS	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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