ENCINAS MEDICAL CENTER NPI 1487058731

NPI Information

NPI: 1487058731
Provider Name: ENCINAS MEDICAL CENTER
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
4614 S ASHLAND AVE
CHICAGO, IL
ZIP 60609
Phone: (773) 888-2560
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ENCINAS MEDICAL CENTER is a primary care clinic center in Chicago, IL. ENCINAS MEDICAL CENTER NPI is 1487058731. The provider is registered as an organization entity type.

The provider's business location address is:

4614 S ASHLAND AVE
CHICAGO, IL
ZIP 60609-251
Phone: (773) 888-2560
Fax: (773) 345-2560

The provider's authorized official is Alvaro Encinas .
The authorized official title is Medical Director and has the following contact phone number (773) 888-2560.

The enumeration date for this NPI number is 10/15/2014 and was last updated on 10/15/2014.

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	042-620315	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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