Northwest Medical Associates Of Chicago Llc in Chicago - Specialist

Northwest Medical Associates Of Chicago Llc - NPI 1932218708

Northwest Medical Associates Of Chicago Llc is a Specialist in Chicago, Illinois. Northwest Medical Associates Of Chicago Llc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Northwest Medical Associates Of Chicago Llc is 1932218708. The last update date is 2020-08-22.

Northwest Medical Associates Of Chicago Llc's current location address is 2875 W 19th St, Chicago, Illinois. You can contact this provider via phone number 7732624588 and fax number 7737615742. The mailing address for Northwest Medical Associates Of Chicago Llc is 2875 W 19th St, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Northwest Medical Associates Of Chicago Llc
Address 2875 W 19th St, Chicago, Illinois
Phone Number 7732624588
Fax Number 7737615742
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT/
Authorized Official Name Aneziokoro Ogbonnaya
Credentials MD
Telephone Number 7732624588

NPI Number Detail

NPI Number 1932218708
Provider Enumeration Date 2006-08-29
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2875 W 19th St
City Chicago
State Illinois (IL)
Post Code 606233501
Phone Number 7732624588
Fax Number 7737615742

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8417110959 IL EIN NUMBER

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FAQs about Northwest Medical Associates Of Chicago Llc

What is the unique 10-digit identification code issued to Northwest Medical Associates Of Chicago Llc by the Centers for Medicare & Medicaid Services?

The Northwest Medical Associates Of Chicago Llc has been assigned the NPI (National Provider Identifier) 1932218708 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Northwest Medical Associates Of Chicago Llc's facilities are situated?

The facilities of Northwest Medical Associates Of Chicago Llc are physically located at the following address: 2875 W 19Th St, Chicago, IL, 606233501.

What is the area of specialization for Northwest Medical Associates Of Chicago Llc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Northwest Medical Associates Of Chicago Llc is Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 174400000X.

On what date did the Northwest Medical Associates Of Chicago Llc receive the assignment of its 1932218708 from the Centers for Medicare & Medicaid Services?

The Northwest Medical Associates Of Chicago Llc was issued its 1932218708 by the Centers for Medicare & Medicaid Services on 2006-08-29.

As of what date were the details pertaining to Northwest Medical Associates Of Chicago Llc last refreshed?

The information related to the Northwest Medical Associates Of Chicago Llc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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