Heritage Medical Group Ltd in Oak Lawn - Specialist

Heritage Medical Group Ltd - NPI 1033121421

Heritage Medical Group Ltd is a Specialist in Oak Lawn, Illinois. Heritage Medical Group Ltd practices all healthcare services and medical treatments related to Specialist. The NPI Number for Heritage Medical Group Ltd is 1033121421. The last update date is 2007-12-06.

Heritage Medical Group Ltd's current location address is 5660 W 95th St, Oak Lawn, Illinois. You can contact this provider via phone number 7084993676 and fax number 7084991792. The mailing address for Heritage Medical Group Ltd is 5660 W 95th St, Oak Lawn, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Heritage Medical Group Ltd
Address 5660 W 95th St, Oak Lawn, Illinois
Phone Number 7084993676
Fax Number 7084991792
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Stavrakos N Maria
Telephone Number 7084993676

NPI Number Detail

NPI Number 1033121421
Provider Enumeration Date 2006-08-13
Last Updated Date 2007-12-06

Provider Mailing Address Detail

Address 5660 W 95th St
City Oak Lawn
State Illinois (IL)
Post Code 604532380
Phone Number 7084993676
Fax Number 7084991792

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
1617593 IL BLUECROSSBLUESHIELD
CM1337 IL MEDICARERR

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FAQs about Heritage Medical Group Ltd

What is the unique identifier code issued to Heritage Medical Group Ltd by the Centers for Medicare & Medicaid Services?

The Heritage Medical Group Ltd has been assigned the NPI (National Provider Identifier) 1033121421. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Heritage Medical Group Ltd is geographically located?

The Heritage Medical Group Ltd is physically situated at the following location: 5660 W 95Th St, Oak Lawn, IL, 604532380.

What is Heritage Medical Group Ltd's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Heritage Medical Group Ltd's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

On what date did Heritage Medical Group Ltd receive its 1033121421 assignment from the Centers for Medicare & Medicaid Services?

The Heritage Medical Group Ltd was assigned its 1033121421 on 2006-08-13, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Heritage Medical Group Ltd last refreshed?

The information related to the Heritage Medical Group Ltd, including its address, specialty, and other relevant details, was last updated on 2007-12-06.

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