Portage Park Medical Group in Chicago - Family Medicine
Portage Park Medical Group - NPI 1184672966
Portage Park Medical Group is a Family Medicine in Chicago, Illinois. Portage Park Medical Group practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Portage Park Medical Group is 1184672966. The last update date is 2020-08-22.
Portage Park Medical Group's current location address is 3401 N Central Ave, Chicago, Illinois. You can contact this provider via phone number 7732868822 and fax number 7738244997. The mailing address for Portage Park Medical Group is 3401 N Central Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Portage Park Medical Group |
|---|---|
| Address | 3401 N Central Ave, Chicago, Illinois |
| Phone Number | 7732868822 |
| Fax Number | 7738244997 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Ansfield Richard |
| Telephone Number | 7732868822 |
NPI Number Detail
| NPI Number | 1184672966 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3401 N Central Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606344426 |
| Phone Number | 7732868822 |
| Fax Number | 7738244997 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1635515 | IL | BLUE CROSS # |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Portage Park Medical Group by the Centers for Medicare & Medicaid Services?
The Portage Park Medical Group has been assigned the NPI (National Provider Identifier) 1184672966 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Portage Park Medical Group's physical address?
The Portage Park Medical Group is physically located at 3401 N Central Ave, in the city of Chicago, IL, with the postal code 606344426.
What is Portage Park Medical Group's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Portage Park Medical Group is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
When was the Portage Park Medical Group's 1184672966 issued?
The Portage Park Medical Group's 1184672966 was issued on 2006-05-04.
As of what date was the information regarding Portage Park Medical Group, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Portage Park Medical Group, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.