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FERNANDO CINTA MD SC NPI 1790011146


NPI Information

NPI: 1790011146
Provider Name: FERNANDO CINTA MD SC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2012 S ASHLAND AVE
CHICAGO, IL
ZIP 60608
Phone: (312) 666-7533
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FERNANDO CINTA MD SC is a general practice in Chicago, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee FERNANDO CINTA MD SC NPI is 1790011146. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2012 S ASHLAND AVE
CHICAGO, IL
ZIP 60608-906
Phone: (312) 666-7533
Fax: (312) 666-6967

The provider's authorized official is Fernando Cinta .
The authorized official title is Physician and has the following contact phone number (312) 666-7533.

The enumeration date for this NPI number is 10/20/2009 and was last updated on 10/20/2009.


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
1208D00000XGeneral Practice36-34969ILLINOISYes

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
1442250MEDICARE PINILLINOIS

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: 5/5/2024

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