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PETROVAS MEDICAL CENTER S.C NPI 1689841801


NPI Information

NPI: 1689841801
Provider Name: PETROVAS MEDICAL CENTER, S.C
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
5962 N LINCOLN AVE STE 12
CHICAGO, IL
ZIP 60659
Phone: (773) 989-0585
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PETROVAS MEDICAL CENTER, S.C is a medical specialty clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). PETROVAS MEDICAL CENTER, S.C NPI is 1689841801. The provider is registered as an organization entity type.

The provider's business location address is:

5962 N LINCOLN AVE STE 12
CHICAGO, IL
ZIP 60659-762
Phone: (773) 989-0585

The provider's authorized official is Demtrios Petrovas .
The authorized official title is President and has the following contact phone number (773) 989-0585.

The enumeration date for this NPI number is 5/15/2008 and was last updated on 5/15/2008.


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
1261QM2500XClinic/CenterMedical Specialty042007949ILLINOISYes

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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