PCAC GI JV LLC NPI 1720667637

NPI Information

NPI: 1720667637
Provider Name: PCAC GI JV LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
331 W SURF ST STE 506
CHICAGO, IL
ZIP 60657
Phone: (317) 504-9628
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PCAC GI JV LLC is an ambulatory surgical clinic center in Chicago, IL. PCAC GI JV LLC NPI is 1720667637. The provider is registered as an organization entity type.

The provider's business location address is:

331 W SURF ST STE 506
CHICAGO, IL
ZIP 60657-227
Phone: (317) 504-9628

The provider's authorized official is Dean Lehmkuhler .
The authorized official title is Administrator and has the following contact phone number (317) 504-9628.

The enumeration date for this NPI number is 4/7/2021 and was last updated on 4/7/2021.

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			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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