RACING INDUSTRY CHARITABLE FOUNDATION NPI 1275281792

NPI Information

NPI: 1275281792
Provider Name: RACING INDUSTRY CHARITABLE FOUNDATION
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 14D2225223

Address:
3701 S LARAMIE AVE
CICERO, IL
ZIP 60804
Phone: (708) 343-9375
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RACING INDUSTRY CHARITABLE FOUNDATION is a community health clinic center in Cicero, IL. RACING INDUSTRY CHARITABLE FOUNDATION NPI is 1275281792. The provider is registered as an organization entity type.

The provider's business location address is:

3701 S LARAMIE AVE
CICERO, IL
ZIP 60804-513
Phone: (708) 343-9375
Fax: (708) 652-3084

The provider's authorized official is Paul Coronado .
The authorized official title is Executive Director and has the following contact phone number (708) 343-9375.

The CLIA number assigned to this NPI record is 14D2225223 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/14/2022 and was last updated on 3/14/2022.

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	261QC1500X	Clinic/Center	Community Health			Yes

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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