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CHARLES MATT CHELICH LTD NPI 1467685503


NPI Information

NPI: 1467685503
Provider Name: CHARLES MATT CHELICH LTD
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
16240 PRINCE DR
SOUTH HOLLAND, IL
ZIP 60473
Phone: (708) 331-0011
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CHARLES MATT CHELICH LTD is a family medicine in South Holland, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CHARLES MATT CHELICH LTD NPI is 1467685503. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16240 PRINCE DR
SOUTH HOLLAND, IL
ZIP 60473-233
Phone: (708) 331-0011
Fax: (708) 331-0008

The provider's authorized official is Charles Matthew Chelich .
The authorized official title is Owner/physician and has the following contact phone number (708) 331-0011.

The enumeration date for this NPI number is 8/24/2009 and was last updated on 1/8/2024.


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
1207Q00000XFamily Medicine036078091ILLINOISYes

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: 4/28/2024

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