ENDOCRINE MEDICAL SPECIALISTS SC NPI 1558541862

NPI Information

NPI: 1558541862
Provider Name: ENDOCRINE MEDICAL SPECIALISTS, SC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
9101 N GREENWOOD AVE
SUITE 207
NILES, IL
ZIP 60714
Phone: (847) 699-1900
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ENDOCRINE MEDICAL SPECIALISTS, SC is a health service clinic center in Niles, IL. ENDOCRINE MEDICAL SPECIALISTS, SC NPI is 1558541862. The provider is registered as an organization entity type.

The provider's business location address is:

9101 N GREENWOOD AVE
SUITE 207
NILES, IL
ZIP 60714-499
Phone: (847) 699-1900
Fax: (847) 699-1925

The provider's authorized official is Dean Kravis .
The authorized official title is President and has the following contact phone number (847) 699-1900.

The enumeration date for this NPI number is 11/5/2007 and was last updated on 1/8/2014.

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	261QH0100X	Clinic/Center	Health Service	036075285	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	E30846	MEDICARE UPIN	ILLINOIS
2	036075285	MEDICAID	ILLINOIS

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

NPI Synchronization or Removal

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