PEACE MEDICAL GROUP INCORPORATED NPI 1619204625

NPI Information

NPI: 1619204625
Provider Name: PEACE MEDICAL GROUP INCORPORATED

Doing Business As: ANUMI MEDICAL CENTER

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 14D2000307

Address:
234 W CERMAK RD
1ST FLOOR
CHICAGO, IL
ZIP 60616
Phone: (312) 808-0880
Get Directions

PEACE MEDICAL GROUP INCORPORATED is a primary care clinic center in Chicago, IL. PEACE MEDICAL GROUP INCORPORATED NPI is 1619204625. The provider is registered as an organization entity type.
The provider Is Doing Business As Anumi Medical Center.

The provider's business location address is:

234 W CERMAK RD
1ST FLOOR
CHICAGO, IL
ZIP 60616-879
Phone: (312) 808-0880
Fax: (312) 808-0840

The provider's authorized official is Michelle Zeng .
The authorized official title is Physician and has the following contact phone number (312) 808-0880.

The CLIA number assigned to this NPI record is 14D2000307 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/11/2009 and was last updated on 11/7/2012.

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	261QP2300X	Clinic/Center	Primary Care	036123779	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
1	1255665444	MEDICARE PIN	ILLINOIS
2	1619204625	MEDICARE UPIN	ILLINOIS
3	036123779	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: 11/14/2023

NPI Synchronization or Removal

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