CHICAGO MUSCULOSKELETAL INSTITUTE S.C. NPI 1528153335

NPI Information

NPI: 1528153335
Provider Name: CHICAGO MUSCULOSKELETAL INSTITUTE, S.C.
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
5025 N PAULINA ST
CHICAGO, IL
ZIP 60640
Phone: (773) 675-9900
Get Directions

CHICAGO MUSCULOSKELETAL INSTITUTE, S.C. is a multi-specialty clinic center in Chicago, IL. CHICAGO MUSCULOSKELETAL INSTITUTE, S.C. NPI is 1528153335. The provider is registered as an organization entity type.

The provider's business location address is:

5025 N PAULINA ST
CHICAGO, IL
ZIP 60640-772
Phone: (773) 675-9900
Fax: (800) 281-6952

The provider's authorized official is Daniel T Ivankovich .
The authorized official title is Owner and has the following contact phone number (773) 675-9900.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 5/8/2013.

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	261QM1300X	Clinic/Center	Multi-Specialty	036105713	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	036105713	MEDICAID	ILLINOIS
2	H74349	MEDICARE UPIN	ILLINOIS
3	210362	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	MEDICARE GROUP #
4	K12440	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS	MEDICARE #

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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