HEALTH CARE ONE SC NPI 1902836687

NPI Information

NPI: 1902836687
Provider Name: HEALTH CARE ONE SC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
4921 N WESTERN AVE
CHICAGO, IL
ZIP 60625
Phone: (773) 478-5600
Get Directions

HEALTH CARE ONE SC is a multi-specialty clinic center in Chicago, IL. HEALTH CARE ONE SC NPI is 1902836687. The provider is registered as an organization entity type.

The provider's business location address is:

4921 N WESTERN AVE
CHICAGO, IL
ZIP 60625-921
Phone: (773) 478-5600
Fax: (773) 478-5602

The provider's authorized official is George Sianis .
The authorized official title is President and has the following contact phone number (773) 478-5600.

The enumeration date for this NPI number is 7/5/2006 and was last updated on 12/4/2023.

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	261QM1300X	Clinic/Center	Multi-Specialty			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	DF7575	OTHER	ILLINOIS	RAILROAD MEDICARE
2	01635073	OTHER	ILLINOIS	BCBS
3	14D0907680	OTHER	ILLINOIS	CLIA

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

NPI Synchronization or Removal

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