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SAUGANASH HEALTH ASSOCIATES NPI 1487843496


NPI Information

NPI: 1487843496
Provider Name: SAUGANASH HEALTH ASSOCIATES
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2740 W. FOSTER AVE
SUITE 209
CHICAGO, IL
ZIP 60625
Phone: (773) 293-3510
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SAUGANASH HEALTH ASSOCIATES is a family medicine in Chicago, 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. SAUGANASH HEALTH ASSOCIATES NPI is 1487843496. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2740 W. FOSTER AVE
SUITE 209
CHICAGO, IL
ZIP 60625-599
Phone: (773) 293-3510

The provider's authorized official is Derek J Kelly .
The authorized official title is Senior Partner and has the following contact phone number (773) 293-3510.

The enumeration date for this NPI number is 10/16/2007 and was last updated on 10/16/2007.


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
1207R00000XInternal MedicineILLINOISNo
2207Q00000XFamily MedicineILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1698190MEDICARE UPINILLINOIS
2762360MEDICARE UPININDIANA

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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