Illinois Medical Group Sc in Chicago - Multi-specialty
Illinois Medical Group Sc - NPI 1649219007
Illinois Medical Group Sc is a Multi-specialty in Chicago, Illinois. Illinois Medical Group Sc practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Illinois Medical Group Sc is 1649219007. The last update date is 2008-06-12.
Illinois Medical Group Sc's current location address is 4211 N Cicero Ave, Chicago, Illinois. You can contact this provider via phone number 7735456900 and fax number 7736852481. The mailing address for Illinois Medical Group Sc is 4211 N Cicero Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Illinois Medical Group Sc |
|---|---|
| Address | 4211 N Cicero Ave, Chicago, Illinois |
| Phone Number | 7735456900 |
| Fax Number | 7736852481 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Elias G Sarmed |
| Credentials | M.D. |
| Telephone Number | 7735456900 |
NPI Number Detail
| NPI Number | 1649219007 |
|---|---|
| Provider Enumeration Date | 2006-06-04 |
| Last Updated Date | 2008-06-12 |
Provider Mailing Address Detail
| Address | 4211 N Cicero Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606411651 |
| Phone Number | 7735456900 |
| Fax Number | 7736852481 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
| Licence No | 42618822 |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| DG1734 | IL | MEDICARE RAILROAD |
Post Comment/ Review Below
What is the Illinois Medical Group Sc's unique identification number?
The Illinois Medical Group Sc has been assigned the NPI (National Provider Identifier) Number 1649219007 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Illinois Medical Group Sc is physically located?
The Illinois Medical Group Sc is physically situated at the following address: 4211 N Cicero Ave, Chicago, IL, 606411651.
What is Illinois Medical Group Sc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Illinois Medical Group Sc is Multi-specialty, and the taxonomy code that classifies this field of practice is 261Qm1300X.
When did Illinois Medical Group Sc receive its 1649219007 assignment?
The Illinois Medical Group Sc was assigned its 1649219007 on 2006-06-04, which is the date when this unique identifier was issued to the organization.
When was the Illinois Medical Group Sc's information last updated?
The Illinois Medical Group Sc's information was last updated on 2008-06-12.