LINCOLN MEDICAL CENTER PC NPI 1396916151

NPI Information

NPI: 1396916151
Provider Name: LINCOLN MEDICAL CENTER, PC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 14D1092221

Address:
5106 N LINCOLN AVE
CHICAGO, IL
ZIP 60625
Phone: (773) 907-8255
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LINCOLN MEDICAL CENTER, PC is a primary care clinic center in Chicago, IL. LINCOLN MEDICAL CENTER, PC NPI is 1396916151. The provider is registered as an organization entity type.

The provider's business location address is:

5106 N LINCOLN AVE
CHICAGO, IL
ZIP 60625-113
Phone: (773) 907-8255
Fax: (773) 907-8296

The provider's authorized official is Kijana Seferovic .
The authorized official title is President and has the following contact phone number (773) 907-8255.

The CLIA number assigned to this NPI record is 14D1092221 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/19/2008 and was last updated on 2/2/2016.

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	261QP2300X	Clinic/Center	Primary Care	036113528	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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