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DR. JOSEPH'S MEDICAL SERVICES S.C. NPI 1457528291


NPI Information

NPI: 1457528291
Provider Name: DR. JOSEPH'S MEDICAL SERVICES S.C.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 14D1085264

Address:
5857 S ARCHER AVE UNIT B
CHICAGO, IL
ZIP 60638
Phone: (708) 496-8400
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DR. JOSEPH'S MEDICAL SERVICES S.C. is a primary care clinic center in Chicago, IL. DR. JOSEPH'S MEDICAL SERVICES S.C. NPI is 1457528291. The provider is registered as an organization entity type.

The provider's business location address is:

5857 S ARCHER AVE UNIT B
CHICAGO, IL
ZIP 60638-619
Phone: (708) 496-8400
Fax: (708) 496-8416

The provider's authorized official is Jozef Rzucidlo .
The authorized official title is Owner and has the following contact phone number (708) 496-8400.

The CLIA number assigned to this NPI record is 14D1085264 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/12/2008 and was last updated on 12/7/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary CareYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.