RAPHAEL MEDICAL SERVICES CORP NPI 1821566977

NPI Information

  • NPI: 1821566977
  • Provider Name: RAPHAEL MEDICAL SERVICES CORP
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 14D2164768
  • Address: 6307 S STEWART AVE STE 306
    CHICAGO, IL
    ZIP 60621
  • Phone: (773) 425-8665

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NPI Details

RAPHAEL MEDICAL SERVICES CORP is a family medicine in Chicago, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RAPHAEL MEDICAL SERVICES CORP NPI is 1821566977. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6307 S STEWART AVE STE 306
CHICAGO, IL
ZIP 60621-116
Phone: (773) 425-8665
Fax: (773) 776-8801

The provider's authorized official is Tade Akere .
The authorized official title is Md/manager and has the following contact phone number (773) 776-8800.

The CLIA number assigned to this NPI record is 14D2164768 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/7/2018 and was last updated on 11/7/2018.

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
1207Q00000XFamily MedicineYes

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
1036094343MEDICAIDILLINOIS

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: 3/30/2025

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