in Chicago - Emergency Medicine

- NPI 1265483861

is a Emergency Medicine in Chicago, Illinois. practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for is 1265483861. The last update date is .

's current location address is 2537 Momentum Pl, Chicago, Illinois. You can contact this provider via phone number 6169751845 and fax number 6162850846. The mailing address for is 2537 Momentum Pl, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name
Address 2537 Momentum Pl, Chicago, Illinois
Phone Number 6169751845
Fax Number 6162850846
Sole Proprietor --
Credentials --

NPI Number Detail

NPI Number 1265483861
Provider Enumeration Date
Last Updated Date

Provider Mailing Address Detail

Address 2537 Momentum Pl
City Chicago
State Illinois (IL)
Post Code 606895325
Phone Number 6169751845
Fax Number 6162850846

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No 4301089762
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00764447 MI RAILROAD MEDICARE

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