CHICAGO FOOT & ORTHOPEDIC CLINIC NPI 1700123734

NPI Information

NPI: 1700123734
Provider Name: CHICAGO FOOT & ORTHOPEDIC CLINIC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
3918 W 63RD ST
CHICAGO, IL
ZIP 60629
Phone: (773) 376-7200
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CHICAGO FOOT & ORTHOPEDIC CLINIC is an ambulatory surgical clinic center in Chicago, IL. CHICAGO FOOT & ORTHOPEDIC CLINIC NPI is 1700123734. The provider is registered as an organization entity type.

The provider's business location address is:

3918 W 63RD ST
CHICAGO, IL
ZIP 60629-604
Phone: (773) 376-7200
Fax: (773) 376-9211

The provider's authorized official is Amin Mashouf .
The authorized official title is Administrator and has the following contact phone number (773) 376-7200.

The enumeration date for this NPI number is 1/10/2013 and was last updated on 1/10/2013.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	016004154	ILLINOIS	Yes

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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