Kedzie Medical Associates Ltd in Evergreen Park - Clinic/center
Kedzie Medical Associates Ltd - NPI 1144295254
Kedzie Medical Associates Ltd is a Clinic/center in Evergreen Park, Illinois. Kedzie Medical Associates Ltd practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Kedzie Medical Associates Ltd is 1144295254. The last update date is 2008-04-11.
Kedzie Medical Associates Ltd's current location address is 3554 W 95th St, Evergreen Park, Illinois. You can contact this provider via phone number 7084236800 and fax number 7084230402. The mailing address for Kedzie Medical Associates Ltd is 3554 W 95th St, Evergreen Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kedzie Medical Associates Ltd |
|---|---|
| Address | 3554 W 95th St, Evergreen Park, Illinois |
| Phone Number | 7084236800 |
| Fax Number | 7084230402 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Kyi H Richard |
| Credentials | M.D |
| Telephone Number | 7084236800 |
NPI Number Detail
| NPI Number | 1144295254 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2008-04-11 |
Provider Mailing Address Detail
| Address | 3554 W 95th St |
|---|---|
| City | Evergreen Park |
| State | Illinois (IL) |
| Post Code | 608052107 |
| Phone Number | 7084236800 |
| Fax Number | 7084230402 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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What is the unique identifier code issued to Kedzie Medical Associates Ltd by the Centers for Medicare & Medicaid Services?
The Kedzie Medical Associates Ltd has been assigned the NPI (National Provider Identifier) 1144295254. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kedzie Medical Associates Ltd?
The Kedzie Medical Associates Ltd is situated at 3554 W 95Th St, in the city of Evergreen Park, state of IL, with the zip code 608052107.
What is Kedzie Medical Associates Ltd's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kedzie Medical Associates Ltd's specialized field of practice is Clinic/center, and the corresponding taxonomy code that categorizes this area of specialization is 261Q00000X.
On what date was the 1144295254 assigned to Kedzie Medical Associates Ltd?
The Kedzie Medical Associates Ltd was issued its 1144295254 on 2006-02-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Kedzie Medical Associates Ltd, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kedzie Medical Associates Ltd, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-11.