SUNRISE CONSULTANT SERVICES INC NPI 1942787189

NPI Information

NPI: 1942787189
Provider Name: SUNRISE CONSULTANT SERVICES, INC

Doing Business As: SUNRISE CLINICAL HEALTH SERVICES

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
502 W 138TH STREET
RIVERDALE, IL
ZIP 60827
Phone: (312) 778-4258
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SUNRISE CONSULTANT SERVICES, INC is a community health clinic center in Riverdale, IL. SUNRISE CONSULTANT SERVICES, INC NPI is 1942787189. The provider is registered as an organization entity type.
The provider Is Doing Business As Sunrise Clinical Health Services.

The provider's business location address is:

502 W 138TH STREET
RIVERDALE, IL
ZIP 60827-082
Phone: (312) 778-4258
Fax: (708) 880-1239

The provider's authorized official is Yvetta L Massey .
The authorized official title is Msn, Rn and has the following contact phone number (708) 880-1397.

The enumeration date for this NPI number is 7/20/2018 and was last updated on 7/20/2018.

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	041265569	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	12141960	OTHER	ILLINOIS	FAMILY MEDICINE

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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