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VASCULAR ACCESS CENTERS OF ILLINOIS AT MORGAN PARK LLC NPI 1689163875


NPI Information

NPI: 1689163875
Provider Name: VASCULAR ACCESS CENTERS OF ILLINOIS AT MORGAN PARK, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 14D2152554

Address:
1701 W MONTEREY AVE
CHICAGO, IL
ZIP 60643
Phone: (773) 366-8035
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VASCULAR ACCESS CENTERS OF ILLINOIS AT MORGAN PARK, LLC is an ambulatory surgical clinic center in Chicago, IL. VASCULAR ACCESS CENTERS OF ILLINOIS AT MORGAN PARK, LLC NPI is 1689163875. The provider is registered as an organization entity type.

The provider's business location address is:

1701 W MONTEREY AVE
CHICAGO, IL
ZIP 60643-257
Phone: (773) 366-8035
Fax: (773) 881-1214

The provider's authorized official is P. Kevin Flynn .
The authorized official title is Cfo/vice Pres Finance and has the following contact phone number (312) 654-2711.

The CLIA number assigned to this NPI record is 14D2152554 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2018 and was last updated on 5/3/2018.


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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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

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