AMERICAN HOSPITAL SERVICE CORPORATION NPI 1710296603

NPI Information

NPI: 1710296603
Provider Name: AMERICAN HOSPITAL SERVICE CORPORATION
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
6157 W BELMONT AVE
CHICAGO, IL
ZIP 60634
Phone: (773) 745-8434
Get Directions

AMERICAN HOSPITAL SERVICE CORPORATION is a primary care clinic center in Chicago, IL. AMERICAN HOSPITAL SERVICE CORPORATION NPI is 1710296603. The provider is registered as an organization entity type.

The provider's business location address is:

6157 W BELMONT AVE
CHICAGO, IL
ZIP 60634-004
Phone: (773) 745-8434
Fax: (773) 745-3443

The provider's authorized official is Henryk J Roztoczynski .
The authorized official title is President and has the following contact phone number (773) 745-8434.

The enumeration date for this NPI number is 9/27/2010 and was last updated on 10/21/2015.

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	261QP2300X	Clinic/Center	Primary Care	036058369	ILLINOIS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	14D0878232	OTHER	ILLINOIS	CLIA
2	D14280	MEDICARE UPIN	ILLINOIS
3	AR8609236	OTHER	ILLINOIS	FDA
4	31600059	OTHER	ILLINOIS	BCBS
5	1457430415	MEDICARE PIN	ILLINOIS
6	036058369	MEDICAID	ILLINOIS

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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