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WATERTOWER CLINIC ASSOCIATES NPI 1760638605


NPI Information

NPI: 1760638605
Provider Name: WATERTOWER CLINIC ASSOCIATES
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
845 N MICHIGAN AVE
SUITE 948E
CHICAGO, IL
ZIP 60611
Phone: (312) 654-2154
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WATERTOWER CLINIC ASSOCIATES is a specialist in Chicago, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. WATERTOWER CLINIC ASSOCIATES NPI is 1760638605. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

845 N MICHIGAN AVE
SUITE 948E
CHICAGO, IL
ZIP 60611-252
Phone: (312) 654-2154
Fax: (312) 867-7841

The provider's authorized official is Tammy Timm .
The authorized official title is Director Of Operations and has the following contact phone number (312) 654-2154.

The enumeration date for this NPI number is 8/12/2008 and was last updated on 8/12/2008.


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
1174400000XSpecialist036-066567ILLINOISYes

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: 4/28/2024

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