US MEDGROUP OF ILLINOIS PC NPI 1457792772

NPI Information

NPI: 1457792772
Provider Name: US MEDGROUP OF ILLINOIS PC

Doing Business As: ADVANCED MEDICAL SPECIALISTS

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1230 W LAKE ST
CHICAGO, IL
ZIP 60607
Phone: (312) 666-0028
Get Directions

US MEDGROUP OF ILLINOIS PC is a health service clinic center in Chicago, IL. US MEDGROUP OF ILLINOIS PC NPI is 1457792772. The provider is registered as an organization entity type.
The provider Is Doing Business As Advanced Medical Specialists.

The provider's business location address is:

1230 W LAKE ST
CHICAGO, IL
ZIP 60607-602
Phone: (312) 666-0028
Fax: (312) 666-5214

The provider's authorized official is Raad Yaldo .
The authorized official title is President And Treasurer and has the following contact phone number (972) 364-8000.

The enumeration date for this NPI number is 7/15/2013 and was last updated on 6/20/2016.

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	261QH0100X	Clinic/Center	Health Service			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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