MICHIGAN AVENUE CENTER FOR HEALTH LTD. NPI 1518002658

NPI Information

NPI: 1518002658
Provider Name: MICHIGAN AVENUE CENTER FOR HEALTH, LTD.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
2415 S MICHIGAN AVE
CHICAGO, IL
ZIP 60616
Phone: (312) 328-1200
Get Directions

MICHIGAN AVENUE CENTER FOR HEALTH, LTD. is an ambulatory surgical clinic center in Chicago, IL. MICHIGAN AVENUE CENTER FOR HEALTH, LTD. NPI is 1518002658. The provider is registered as an organization entity type.

The provider's business location address is:

2415 S MICHIGAN AVE
CHICAGO, IL
ZIP 60616-301
Phone: (312) 328-1200

The provider's authorized official is Tammy Stern .
The authorized official title is Assistant Administrator and has the following contact phone number (847) 255-7400.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 8/22/2020.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	7002777	ILLINOIS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	50422	OTHER	ILLINOIS	BC BS NUMBER

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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