Southwest Medical Affiliates, Pc in Chicago Ridge - Internal Medicine
Southwest Medical Affiliates, Pc - NPI 1760603054
Southwest Medical Affiliates, Pc is a Internal Medicine in Chicago Ridge, Illinois. Southwest Medical Affiliates, Pc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Southwest Medical Affiliates, Pc is 1760603054. The last update date is 2012-11-20.
Southwest Medical Affiliates, Pc's current location address is 5630 111th St, Chicago Ridge, Illinois. You can contact this provider via phone number 7088575800 and fax number 7088575805. The mailing address for Southwest Medical Affiliates, Pc is 5630 111th St, Chicago Ridge, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southwest Medical Affiliates, Pc |
|---|---|
| Address | 5630 111th St, Chicago Ridge, Illinois |
| Phone Number | 7088575800 |
| Fax Number | 7088575805 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | FINANCIAL |
|---|---|
| Authorized Official Name | Moriarty L Sharon |
| Telephone Number | 7088575804 |
NPI Number Detail
| NPI Number | 1760603054 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2012-11-20 |
Provider Mailing Address Detail
| Address | 5630 111th St |
|---|---|
| City | Chicago Ridge |
| State | Illinois (IL) |
| Post Code | 604152406 |
| Phone Number | 7088575800 |
| Fax Number | 7088575805 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 36063034 |
|
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1407861982 | IL | NPI | |
| 36063034 | IL | -- | |
| 1629084116 | IL | NPI | |
| 1972519486 | IL | NPI | |
| 16004378 | IL | -- | |
| 36063793 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Southwest Medical Affiliates, Pc by the Centers for Medicare & Medicaid Services?
The Southwest Medical Affiliates, Pc has been assigned the NPI (National Provider Identifier) 1760603054. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Southwest Medical Affiliates, Pc located?
The Southwest Medical Affiliates, Pc is located at 5630 111Th St, Chicago Ridge, IL 604152406.
What is Southwest Medical Affiliates, Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Southwest Medical Affiliates, Pc is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did the Southwest Medical Affiliates, Pc receive the assignment of its 1760603054 from the Centers for Medicare & Medicaid Services?
The Southwest Medical Affiliates, Pc was issued its 1760603054 by the Centers for Medicare & Medicaid Services on 2007-05-02.
As of what date were the details pertaining to Southwest Medical Affiliates, Pc last refreshed?
The information related to the Southwest Medical Affiliates, Pc, including its address, specialty, and other relevant details, was last updated on 2012-11-20.