FAMILY EYECARE ALEXIS E SCATCHELL OD NPI 1871206706

NPI Information

NPI: 1871206706
Provider Name: FAMILY EYECARE ALEXIS E SCATCHELL OD

Doing Business As: WEE PEDIATRIC EYECARE

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
5316 N MILWAUKEE AVE # 2C
CHICAGO, IL
ZIP 60630
Phone: (708) 831-4564
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FAMILY EYECARE ALEXIS E SCATCHELL OD is a health service clinic center in Chicago, IL. FAMILY EYECARE ALEXIS E SCATCHELL OD NPI is 1871206706. The provider is registered as an organization entity type.
The provider Is Doing Business As Wee Pediatric Eyecare.

The provider's business location address is:

5316 N MILWAUKEE AVE # 2C
CHICAGO, IL
ZIP 60630-269
Phone: (708) 831-4564
Fax: (708) 831-4567

The provider's authorized official is Alexandria E Scatchell .
The authorized official title is Authorized Official and has the following contact phone number (773) 458-3230.

The enumeration date for this NPI number is 1/5/2023 and was last updated on 2/22/2023.

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	261QH0100X	Clinic/Center	Health Service			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	046009919	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: 5/5/2024

NPI Synchronization or Removal

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