Augusta Damen Medical Center Ltd in Chicago - General Practice

Augusta Damen Medical Center Ltd - NPI 1730353624

Augusta Damen Medical Center Ltd is a General Practice in Chicago, Illinois. Augusta Damen Medical Center Ltd practices all healthcare services and medical treatments related to General Practice. The NPI Number for Augusta Damen Medical Center Ltd is 1730353624. The last update date is 2008-10-06.

Augusta Damen Medical Center Ltd's current location address is 948 N Damen Ave, Chicago, Illinois. You can contact this provider via phone number 7732762655 and fax number 7732762726. The mailing address for Augusta Damen Medical Center Ltd is 948 N Damen Ave, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Augusta Damen Medical Center Ltd
Address 948 N Damen Ave, Chicago, Illinois
Phone Number 7732762655
Fax Number 7732762726
Sole Proprietor --
Credentials --

Authorized Official

Title or Position FAMILY PRA
Authorized Official Name Ahmed Sultana Safia
Credentials M.D.
Telephone Number 7732762655

NPI Number Detail

NPI Number 1730353624
Provider Enumeration Date 2008-04-22
Last Updated Date 2008-10-06

Provider Mailing Address Detail

Address 948 N Damen Ave
City Chicago
State Illinois (IL)
Post Code 606224910
Phone Number 7732762655
Fax Number 7732762726

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No 36068577
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36068577 IL --

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FAQs about Augusta Damen Medical Center Ltd

What is the unique 10-digit identification code issued to Augusta Damen Medical Center Ltd by the Centers for Medicare & Medicaid Services?

The Augusta Damen Medical Center Ltd has been assigned the NPI (National Provider Identifier) 1730353624 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Augusta Damen Medical Center Ltd is physically located?

The Augusta Damen Medical Center Ltd is situated at the following address: 948 N Damen Ave, Chicago, IL 606224910.

What is Augusta Damen Medical Center Ltd's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Augusta Damen Medical Center Ltd is General Practice, and the taxonomy classification code that categorizes this area of expertise is 208D00000X.

On what date did the Augusta Damen Medical Center Ltd receive the assignment of its 1730353624 from the Centers for Medicare & Medicaid Services?

The Augusta Damen Medical Center Ltd was issued its 1730353624 by the Centers for Medicare & Medicaid Services on 2008-04-22.

When was the Augusta Damen Medical Center Ltd's information last updated?

The Augusta Damen Medical Center Ltd's information was last updated on 2008-10-06.

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