Audisho Brimo Khoshaba in Chicago - Family Medicine

Audisho Brimo Khoshaba - NPI 1104933191

Audisho Brimo Khoshaba is a Family Medicine in Chicago, Illinois. Audisho Brimo Khoshaba practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Audisho Brimo Khoshaba is 1104933191. The last update date is 2015-07-20.

Audisho Brimo Khoshaba's current location address is 2653 W Peterson Ave, Chicago, Illinois. You can contact this provider via phone number 7737289399 and fax number 7737284162. The mailing address for Audisho Brimo Khoshaba is 2653 W Peterson Ave, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Audisho Brimo Khoshaba
Address 2653 W Peterson Ave, Chicago, Illinois
Phone Number 7737289399
Fax Number 7737284162
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1104933191
Provider Enumeration Date 2006-08-24
Last Updated Date 2015-07-20

Provider Mailing Address Detail

Address 2653 W Peterson Ave
City Chicago
State Illinois (IL)
Post Code 606594017
Phone Number 7737289399
Fax Number 7737284162

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 36078916
Definition:
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 i

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FAQs about Audisho Brimo Khoshaba

What is the unique 10-digit identification code issued to Audisho Brimo Khoshaba by the Centers for Medicare & Medicaid Services?

The Audisho Brimo Khoshaba has been assigned the NPI (National Provider Identifier) 1104933191 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Audisho Brimo Khoshaba's facilities are geographically located?

The facilities of Audisho Brimo Khoshaba are physically situated at the following location: 2653 W Peterson Ave, Chicago, IL, 606594017.

What is the area of specialization for Audisho Brimo Khoshaba, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Audisho Brimo Khoshaba is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1104933191 to Audisho Brimo Khoshaba?

The Centers for Medicare & Medicaid Services assigned the 1104933191 to Audisho Brimo Khoshaba on 2006-08-24.

As of what date was the information pertaining to Audisho Brimo Khoshaba, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Audisho Brimo Khoshaba, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-07-20.

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