NORTHERN ILLINOIS EMERGENCY & OCCP MED SPEC NPI 1881763449

NPI Information

NPI: 1881763449
Provider Name: NORTHERN ILLINOIS EMERGENCY & OCCP MED SPEC
Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

Address:
701 W NORTH AVE
MELROSE PARK, IL
ZIP 60160
Phone: (708) 681-3200
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NORTHERN ILLINOIS EMERGENCY & OCCP MED SPEC is an emergency care clinic center in Melrose Park, IL. NORTHERN ILLINOIS EMERGENCY & OCCP MED SPEC NPI is 1881763449. The provider is registered as an organization entity type.

The provider's business location address is:

701 W NORTH AVE
MELROSE PARK, IL
ZIP 60160-612
Phone: (708) 681-3200
Fax: (708) 681-5228

The provider's authorized official is Henry Giacinto .
The authorized official title is Director and has the following contact phone number (708) 460-7444.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 8/22/2020.

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	261QE0002X	Clinic/Center	Emergency Care			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	01623845	OTHER	ILLINOIS	BLUE CROSS & BLUE SHEILD

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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