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ASIAN VILLAGE MEDICAL CLINIC PC NPI 1548436892


NPI Information

NPI: 1548436892
Provider Name: ASIAN VILLAGE MEDICAL CLINIC PC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 14D0997375

Address:
5129 N BROADWAY ST
SUITE E
CHICAGO, IL
ZIP 60640
Phone: (774) 275-4250
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ASIAN VILLAGE MEDICAL CLINIC PC is a clinic center in Chicago, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ASIAN VILLAGE MEDICAL CLINIC PC NPI is 1548436892. The provider is registered as an organization entity type.

The provider's business location address is:

5129 N BROADWAY ST
SUITE E
CHICAGO, IL
ZIP 60640-018
Phone: (774) 275-4250
Fax: (773) 275-4263

The provider's authorized official is Phuong Tran .
The authorized official title is President and has the following contact phone number (773) 275-4250.

The CLIA number assigned to this NPI record is 14D0997375 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/7/2008 and was last updated on 9/30/2010.


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
1261Q00000XClinic/Center036089675ILLINOISYes

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
120000433MEDICAIDILLINOIS
2C01332MEDICARE PINILLINOIS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.