Total Care Medical Clinic in Berwyn - Addiction Medicine
Total Care Medical Clinic - NPI 1548447956
Total Care Medical Clinic is a Addiction Medicine in Berwyn, Illinois. Total Care Medical Clinic practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Total Care Medical Clinic is 1548447956. The last update date is 2011-04-13.
Total Care Medical Clinic's current location address is 6929 Ogden Ave, Berwyn, Illinois. You can contact this provider via phone number 7084849472 and fax number 7084849473. The mailing address for Total Care Medical Clinic is 6929 Ogden Ave, Berwyn, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Total Care Medical Clinic |
|---|---|
| Address | 6929 Ogden Ave, Berwyn, Illinois |
| Phone Number | 7084849472 |
| Fax Number | 7084849473 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Spishakoff M Leonard |
| Credentials | MD |
| Telephone Number | 7084849506 |
NPI Number Detail
| NPI Number | 1548447956 |
|---|---|
| Provider Enumeration Date | 2008-01-28 |
| Last Updated Date | 2011-04-13 |
Provider Mailing Address Detail
| Address | 6929 Ogden Ave |
|---|---|
| City | Berwyn |
| State | Illinois (IL) |
| Post Code | 604023649 |
| Phone Number | 7084849472 |
| Fax Number | 7084849473 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 207Qa0401X |
| Licence No | 36091578 |
|
Definition: A family medicine physician who specializes in the diagnosis and treatment of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36091578 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Total Care Medical Clinic?
The Total Care Medical Clinic has been issued the NPI (National Provider Identifier) 1548447956 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Total Care Medical Clinic's facilities are situated?
The facilities of Total Care Medical Clinic are physically located at the following address: 6929 Ogden Ave, Berwyn, IL, 604023649.
What is Total Care Medical Clinic's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Total Care Medical Clinic is Addiction Medicine, and the taxonomy code that categorizes this field of expertise is 207Qa0401X.
On what date was the 1548447956 assigned to Total Care Medical Clinic?
The Total Care Medical Clinic was issued its 1548447956 on 2008-01-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Total Care Medical Clinic's details last updated?
The information pertaining to the Total Care Medical Clinic, including its address, specialty, and other details, was most recently updated on 2011-04-13.