Professional Health Sport, Inc. in Chicago - General Practice
Professional Health Sport, Inc. - NPI 1063632917
Professional Health Sport, Inc. is a General Practice in Chicago, Illinois. Professional Health Sport, Inc. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Professional Health Sport, Inc. is 1063632917. The last update date is 2007-10-01.
Professional Health Sport, Inc.'s current location address is 6288 N Cicero Ave, Chicago, Illinois. You can contact this provider via phone number 7732051418. The mailing address for Professional Health Sport, Inc. is 6288 N Cicero Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Professional Health Sport, Inc. |
|---|---|
| Address | 6288 N Cicero Ave, Chicago, Illinois |
| Phone Number | 7732051418 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Dehelean H John |
| Telephone Number | 7732051418 |
NPI Number Detail
| NPI Number | 1063632917 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2007-10-01 |
Provider Mailing Address Detail
| Address | 6288 N Cicero Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606464918 |
| Phone Number | 7732051418 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Post Comment/ Review Below
What is the unique identification code assigned to Professional Health Sport, Inc. by the Centers for Medicare & Medicaid Services?
The Professional Health Sport, Inc. has been issued the NPI (National Provider Identifier) 1063632917. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Professional Health Sport, Inc.'s physical address?
The Professional Health Sport, Inc. is physically located at 6288 N Cicero Ave, in the city of Chicago, IL, with the postal code 606464918.
What is Professional Health Sport, Inc.'s area of expertise and its corresponding taxonomy classification?
The Professional Health Sport, Inc.'s field of specialization is General Practice, and it falls under the taxonomy code 208D00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Professional Health Sport, Inc. receive its 1063632917 assignment from the Centers for Medicare & Medicaid Services?
The Professional Health Sport, Inc. was assigned its 1063632917 by the Centers for Medicare & Medicaid Services on 2007-04-25.
When was the information related to Professional Health Sport, Inc. most recently updated or refreshed?
The details pertaining to the Professional Health Sport, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2007-10-01.