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MILLENNIUM PARK MEDICAL ASSOCIATES S.C. NPI 1700073780


NPI Information

NPI: 1700073780
Provider Name: MILLENNIUM PARK MEDICAL ASSOCIATES, S.C.
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
30 S MICHIGAN AVE
SUITE #500
CHICAGO, IL
ZIP 60603
Phone: (312) 977-1185
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MILLENNIUM PARK MEDICAL ASSOCIATES, S.C. is a clinic center in Chicago, IL. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MILLENNIUM PARK MEDICAL ASSOCIATES, S.C. NPI is 1700073780. The provider is registered as an organization entity type.

The provider's business location address is:

30 S MICHIGAN AVE
SUITE #500
CHICAGO, IL
ZIP 60603-211
Phone: (312) 977-1185
Fax: (312) 977-1188

The provider's authorized official is Farah N Khan .
The authorized official title is Owner, Ceo and has the following contact phone number (312) 977-1185.

The enumeration date for this NPI number is 10/3/2007 and was last updated on 8/23/2019.


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
1261Q00000XClinic/Center036103943ILLINOISYes

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.