VEDA MEDICAL AND CONSULTING RESEARCH NPI 1770243412

NPI Information

NPI: 1770243412
Provider Name: VEDA MEDICAL AND CONSULTING RESEARCH
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
8801 S STONY ISLAND AVE
CHICAGO, IL
ZIP 60617
Phone: (708) 586-9798
Get Directions

VEDA MEDICAL AND CONSULTING RESEARCH is a health service clinic center in Chicago, IL. VEDA MEDICAL AND CONSULTING RESEARCH NPI is 1770243412. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8801 S STONY ISLAND AVE
CHICAGO, IL
ZIP 60617-810
Phone: (708) 586-9798

The provider's authorized official is Avida Bussell .
The authorized official title is Member/employee/director and has the following contact phone number (708) 981-8609.

The enumeration date for this NPI number is 12/21/2021 and was last updated on 12/21/2021.

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	Primary
1	1744R1102X	Specialist	Research Study	No
2	207P00000X	Emergency Medicine		No
3	207Q00000X	Family Medicine		No
4	251E00000X	Home Health		No
5	261QC1500X	Clinic/Center	Community Health	No
6	261QH0100X	Clinic/Center	Health Service	Yes
7	405300000X	Prevention Professional		No
8	2083B0002X	Preventive Medicine	Obesity Medicine	No
9	2083A0300X	Preventive Medicine	Addiction Medicine	No
10	171400000X	Health and Wellness Coach		No

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	036.129396	OTHER	ILLINOIS	STATE OF 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

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.

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