South Suburban Health Professionals Pc in Chicago - Internal Medicine
South Suburban Health Professionals Pc - NPI 1902813595
South Suburban Health Professionals Pc is a Internal Medicine in Chicago, Illinois. South Suburban Health Professionals Pc practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for South Suburban Health Professionals Pc is 1902813595. The last update date is 2007-10-15.
South Suburban Health Professionals Pc's current location address is 4250 N Marine Dr, Chicago, Illinois. You can contact this provider via phone number 7734040160. The mailing address for South Suburban Health Professionals Pc is 4250 N Marine Dr, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Suburban Health Professionals Pc |
|---|---|
| Address | 4250 N Marine Dr, Chicago, Illinois |
| Phone Number | 7734040160 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Reynolds Albert |
| Credentials | M.D. |
| Telephone Number | 7089224900 |
NPI Number Detail
| NPI Number | 1902813595 |
|---|---|
| Provider Enumeration Date | 2006-08-03 |
| Last Updated Date | 2007-10-15 |
Provider Mailing Address Detail
| Address | 4250 N Marine Dr |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606131744 |
| Phone Number | 7734040160 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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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 |
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What is the South Suburban Health Professionals Pc's unique identification number?
The South Suburban Health Professionals Pc has been assigned the NPI (National Provider Identifier) Number 1902813595 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of South Suburban Health Professionals Pc?
The South Suburban Health Professionals Pc is situated at 4250 N Marine Dr, in the city of Chicago, state of IL, with the zip code 606131744.
What is the South Suburban Health Professionals Pc's specialty and taxonomy code?
The South Suburban Health Professionals Pc's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
When was the South Suburban Health Professionals Pc's 1902813595 issued?
The South Suburban Health Professionals Pc's 1902813595 was issued on 2006-08-03.
When was the information regarding South Suburban Health Professionals Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to South Suburban Health Professionals Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-15.