ML MEDICAL SERVICES CORPORATION NPI 1922280296

NPI Information

NPI: 1922280296
Provider Name: ML MEDICAL SERVICES CORPORATION
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
5535 W CERMAK RD
SUITE B
CICERO, IL
ZIP 60804
Phone: (708) 652-5423
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ML MEDICAL SERVICES CORPORATION is a primary care clinic center in Cicero, IL. ML MEDICAL SERVICES CORPORATION NPI is 1922280296. The provider is registered as an organization entity type.

The provider's business location address is:

5535 W CERMAK RD
SUITE B
CICERO, IL
ZIP 60804-218
Phone: (708) 652-5423
Fax: (708) 652-5424

The provider's authorized official is Israel Labao .
The authorized official title is Ceo and has the following contact phone number (708) 652-5423.

The enumeration date for this NPI number is 11/28/2007 and was last updated on 10/5/2012.

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	261QP2300X	Clinic/Center	Primary Care	336040596 (36077467)	ILLINOIS	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	1635391	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD
2	211967	MEDICARE PIN	ILLINOIS
3	036077467	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: 4/28/2024

NPI Synchronization or Removal

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