Provider Type Icon

CHEVY CHASE CORP NPI 1629210091


NPI Information

NPI: 1629210091
Provider Name: CHEVY CHASE CORP

Other Name: BRONZEVILLE PARK-OXY

Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization

Specialization: Oxygen Equipment & Supplies

Address:
3400 S INDIANA AVE
CHICAGO, IL
ZIP 60616
Phone: (312) 842-5000
Get Directions

CHEVY CHASE CORP is an oxygen equipment and supplies durable medical equipment medical supplies in Chicago, IL. CHEVY CHASE CORP NPI is 1629210091. The provider is registered as an organization entity type.
The provider Other Name Is Bronzeville Park-oxy.

The provider's business location address is:

3400 S INDIANA AVE
CHICAGO, IL
ZIP 60616-841
Phone: (312) 842-5000
Fax: (312) 842-3790

The provider's authorized official is Reuven Levitin .
The authorized official title is Patient Accounts Manager and has the following contact phone number (847) 745-6240.

The enumeration date for this NPI number is 4/1/2009 and was last updated on 4/1/2009.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies0040592ILLINOISYes

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
1145337MEDICARE PIN
2=========002MEDICAIDILLINOIS
31770654907OTHERNPI IDENTIFIER
45003300001MEDICARE NSC

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.