ST. JUDE MEDICAL CENTER S.C. NPI 1619104817

NPI Information

ST. JUDE MEDICAL CENTER S.C. is a primary care clinic center in Chicago, IL. ST. JUDE MEDICAL CENTER S.C. NPI is 1619104817. The provider is registered as an organization entity type.
The provider Is Doing Business As Kirit Bhatt M.d..

The provider's business location address is:

1418 W 18TH ST
CHICAGO, IL
ZIP 60608-004
Phone: (312) 733-3331
Fax: (312) 733-1251

The provider's authorized official is Kirit Bhatt .
The authorized official title is President and has the following contact phone number (312) 733-3331.

The enumeration date for this NPI number is 6/15/2009 and was last updated on 7/16/2009.

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:

Other Identifiers

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

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